PAVILLON INTERNATIONAL OUTPATIENT SERVICES (NPI# 1013139229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013139229 |
| Entity Type | Organization |
| Organization Name | PAVILLON INTERNATIONAL OUTPATIENT SERVICES |
| Practice Address |
801 W Mills St Columbus NC 28722-8494 |
| Practice Telephone | 8288940293 |
| Practice Fax Number | 8288940296 |
| Mailing Telephone | 8288940293 |
| Mailing Fax Number | 8288940296 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANNE VANCE (CEO) |
| Authorized Official Telephone | 8286258210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MHL 075-018 | NC | Ambulatory Health Care Facilities |
| Street Address |
801 W MILLS ST |
| City | COLUMBUS |
| State | NC |
| Zip Code | 28722-8494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437452513 | St Lukes Physician Network, Inc. | Family Medicine | 801 W Mills St, Suite C, Columbus, NC 28722-8494 | 2010-12-13 |
| 1194030403 | Polk County Community Health & Wellness Center, Inc. | Physician Assistant | 801 W Mills St, Columbus, NC 28722-8494 | 2010-08-11 |
| 1376705640 | Lifespan Psychological Services | Psychologist | 801 W Mills St, Siute B, Columbus, NC 28722-8494 | 2008-06-27 |
| 1083885404 | Raleigh Durham Medical Group Pa | Family Medicine | 801 W Mills St, Ste. C, Columbus, NC 28722-8494 | 2008-03-13 |
| 1184803264 | Foothills Medical Associates | Clinic/Center | 801 W Mills St, Suite C, Columbus, NC 28722-8494 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
| 1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
| 1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
| 1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
| 1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
| 1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
| 1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
| Find all providers in zip 28722 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785751 | Linden Focus | Clinic/Center | 1570 Cleveland Ave Ste 2, Columbus, OH 43211-2755 | 2018-10-09 |
| 1801337423 | Freedom Recovery LLC | Clinic/Center | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2017-03-15 |
| 1477835296 | Talbott Recovery Campus | Clinic/Center | 1200 Brookstone Ctr, Columbus, GA 31904 | 2011-09-19 |
| 1316238728 | Dr Mauricelmlei Millere, Dd Bmh Cpc Cc, Counseling Services | Clinic/Center | 3007 Quinby Dr, Columbus, OH 43232-4757 | 2011-04-20 |
| 1730792524 | Five Points Recovery LLC | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-08-31 |
| 1659910685 | Teasia Tarver | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-12-20 |
| 1295379337 | Milestone Addiction Counseling LLC | Clinic/Center | 106 N Murray Hill Rd, Columbus, OH 43228-1524 | 2019-11-01 |
| 1699289637 | Eden Behavioral Health Residential Treatment Center | Clinic/Center | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2017-11-29 |
| 1225573090 | Ohio Addiction Recovery Center | Clinic/Center | 1151 S High St, Columbus, OH 43206-3434 | 2017-01-03 |
| 1043691504 | Ohio Addiction Recovery Center | Clinic/Center | 727 E Main St, Columbus, OH 43205-1760 | 2015-06-10 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.