ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA – NPI #1336721117
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.

ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA is a substance abuse rehabilitation facility located in BURLINGTON, IA. NPPES has assigned the NPI number 1336721117 to ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA on April 22, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA below.

NPI Profile for
ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA

NPI Number
1336721117
Enumeration Date

(more than 5 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
ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA
Primary location
1340 MT. PLEASANT ST
BURLINGTON, IA 52601
Phone: (317) 753-6567 Fax: (319) 753-0703
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LENA JONES
ASSOC. DIRECTOR OF ADMIN
Phone: (319) 753-6567
Updated
Certification Date
Apr 20, 2021

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.

Identifiers

Identifiers for ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0215488
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)
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

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.