ALCOHOL & DRUG DEPENDENCY SERVICES (NPI# 1043486400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043486400 |
| Entity Type | Organization |
| Organization Name | ALCOHOL & DRUG DEPENDENCY SERVICES |
| Practice Address |
304 Highway 61 N Wapello IA 52653-1243 |
| Mailing Address |
1340 Mount Pleasant St Burlington IA 52601-2623 |
| Practice Telephone | 3195238436 |
| Practice Fax Number | 3195238436 |
| Mailing Telephone | 3197536567 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. RICHARD SWANSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3197536567 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | IA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1316218928 | Alcohol & Drug Dependency Services | Clinic/Center | 320 N. Main St., Davenport, IA 52801 | 2012-01-13 |
| 1386810646 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 928 Main St, Keokuk, IA 52632-4655 | 2008-05-06 |
| 1013938091 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2006-07-22 |
| 1790952471 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 226 W Main St, Suite 16, Ottumwa, IA 52501-2520 | 2008-05-13 |
| 1457527715 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 122 N Main St, Mt Pleasant, IA 52641-2052 | 2008-05-06 |
| Street Address |
304 HIGHWAY 61 N |
| City | WAPELLO |
| State | IA |
| Zip Code | 52653-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706504 | Alexander Lee Bohnenkamp | Counselor | 304 Highway 61 N, Wapello, IA 52653-1243 | 2017-12-18 |
| 1134657919 | Peter William Smillie | Counselor | 304 Highway 61 N, Wapello, IA 52653-1243 | 2017-05-24 |
| 1548669021 | Lynne Christine Marquardt | Counselor | 304 Highway 61 N, Wapello, IA 52653-1243 | 2014-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353772 | Sunny Lynne Hamilton | Dentist | 220 North Second Street, Wapello, IA 52653 | 2008-04-22 |
| 1023432556 | Louisa County | Home Health | 805 J L Hodges Ave, Wapello, IA 52653-1044 | 2014-02-04 |
| 1790108850 | Louisa County | Public Health or Welfare | 805 J L Hodges Ave N, Wapello, IA 52653-1044 | 2014-01-27 |
| 1942623004 | Louis County | Home Health | 805 J L Hodges Hwy 61 North, Wapello, IA 52653-1044 | 2014-01-27 |
| 1962480962 | County of Louisa | Home Health | 805 James L Hodges Ave N, Wapello, IA 52653-1044 | 2006-01-09 |
| 1215202338 | Wapello Community School District | Case Management | 406 Mechanic St, Wapello, IA 52653-1127 | 2012-03-22 |
| 1184938755 | Sunshine Dental | Dentist | 220 N 2nd St, Wapello, IA 52653-1202 | 2010-08-05 |
| 1316587132 | Carol Adolphson | Counselor | 218 N 2nd St, Wapello, IA 52653-1202 | 2020-01-09 |
| 1144795360 | Emily Curry | Registered Nurse | 218 N 2nd St, Wapello, IA 52653-1202 | 2018-10-04 |
| 1942739925 | Maygan Michele Hull | Social Worker | 218 N 2nd St, Wapello, IA 52653-1202 | 2017-06-05 |
| Find all providers in zip 52653 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032443 | Morgan P Foley | Substance Abuse Rehabilitation Facility | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2018-02-02 |
| 1629525308 | St. Gregory Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1985 Ne 51st Pl, Des Moines, IA 50313-2517 | 2016-09-09 |
| 1477974244 | House of Mercy | Substance Abuse Rehabilitation Facility | 511 E 21st St S, Newton, IA 50208-5104 | 2013-12-23 |
| 1750511143 | St Gregory Centers, Inc | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2009-07-20 |
| 1568609360 | The Abbey | Substance Abuse Rehabilitation Facility | 1401 Central Ave, Bettendorf, IA 52722-6034 | 2009-01-15 |
| 1386810646 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 928 Main St, Keokuk, IA 52632-4655 | 2008-05-06 |
| 1174723118 | Fort Dodge Ywca Women's Halfway House | Substance Abuse Rehabilitation Facility | 826 1st Ave N, Fort Dodge, IA 50501-3906 | 2007-07-18 |
| 1871641159 | Clearview Recovery, Inc. | Substance Abuse Rehabilitation Facility | 501 N Sherman St, Prairie City, IA 50228-8666 | 2007-01-05 |
| 1801952205 | Resolutions Substance Abuse Services | Substance Abuse Rehabilitation Facility | 220 Lafayette St, Iowa City, IA 52240-1746 | 2006-12-29 |
| 1366507790 | Community and Family Resources | Substance Abuse Rehabilitation Facility | 211 Avenue M, Fort Dodge, IA 50501-5789 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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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.