JEFFREY R HODGSON MD CORPORATION – NPI #1164146684
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

JEFFREY R HODGSON MD CORPORATION is a substance abuse rehabilitation facility located in FIDDLETOWN, CA. NPPES has assigned the NPI number 1164146684 to JEFFREY R HODGSON MD CORPORATION on September 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY R HODGSON MD CORPORATION below.

NPI Profile for
JEFFREY R HODGSON MD CORPORATION

NPI Number
1164146684
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFREY R HODGSON MD CORPORATION
Primary location
20100 QUARTZ MOUTAIN ROAD NORTH
FIDDLETOWN, CA 95629
Phone: (312) 305-9378 Fax:
Mailing address
PO BOX 353
FIDDLETOWN, CA 95629-0353
Phone: (312) 305-9378 Fax:
Organization Subpart
No
Authorized Official
JEFFREY HODGSON
OWNER
Phone: (312) 305-9378
Updated
Certification Date
Sep 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.