BHG XLIII, LLC (NPI# 1558805754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558805754 |
| Entity Type | Organization |
| Organization Name | BHG XLIII, LLC |
| Other Organization Name | BHG NORTHERN SPRINGFIELD TREATMENT CENTER |
| Practice Address |
2551 W Kearney St Springfield MO 65803 |
| Mailing Address |
5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 |
| Practice Telephone | 2143656100 |
| Practice Fax Number | 2143656150 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | JEMECE GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BHG NORTHERN SPRINGFIELD TREATMENT CENTER | Doing Business As Name - Organization |
| Street Address |
2551 W KEARNEY ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| 1962575662 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 2825 N. Kansas Expwy, Springfield, MO 65803 | 2006-11-17 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1871826008 | Kansas City Community Center | Clinic/Center | 644 S Scenic Ave, Springfield, MO 65802-5072 | 2009-09-04 |
| 1447347265 | Matt Talbot House, Inc. | Clinic/Center | 809 South Limestone Street, Springfield, OH 45501 | 2006-10-05 |
| 1831127612 | Valley Hope Association | Clinic/Center | 1661 W Elfindale Dr, Springfield, MO 65807-1287 | 2006-06-29 |
| 1295356574 | E Home Behavioral LLC | Clinic/Center | 2317 E Home Rd, Springfield, OH 45503-2520 | 2020-04-28 |
| 1740827138 | E Home Behavioral LLC | Clinic/Center | 2317 E Home Rd, Springfield, OH 45503-2520 | 2019-12-04 |
| 1720640642 | Family Guidance Centers, Inc. | Clinic/Center | 2924 Stanton St, Springfield, IL 62703-4315 | 2019-07-01 |
| 1164954947 | Contemporary Therapeutics LLC | Clinic/Center | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2017-03-30 |
| 1669926374 | Rocking Horse Children's Health Center | Clinic/Center | 120 W Mulberry St, Springfield, OH 45506-1666 | 2016-08-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
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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.