JACKSON RECOVERY CENTERS, INC. – NPI #1649603283
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.

JACKSON RECOVERY CENTERS, INC. is a substance abuse rehabilitation facility located in SIOUX CITY, IA. NPPES has assigned the NPI number 1649603283 to JACKSON RECOVERY CENTERS, INC. on August 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JACKSON RECOVERY CENTERS, INC. is also known by the name ADOLESCENT CENTER. 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 JACKSON RECOVERY CENTERS, INC. below.

NPI Profile for
JACKSON RECOVERY CENTERS, INC.

NPI Number
1649603283
Enumeration Date

(about 13 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
JACKSON RECOVERY CENTERS, INC.
Other Name: ADOLESCENT CENTER
Primary location
2101 COURT ST
SIOUX CITY, IA 51104-3243
Phone: (712) 293-4912 Fax: (712) 293-4804
Mailing address
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone: (712) 234-2300 Fax: (712) 234-2398
Organization Subpart
Yes - JACKSON RECOVERY CENTERS, INC. is subpart of another organization.
Authorized Official
KERMIT DAHLEN
CEO/PRESIDENT
Phone: (712) 234-2300
Updated
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)
IA 1237

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.