METRO TREATMENT OF MISSISSIPPI, LP (NPI# 1336688845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336688845 |
Entity Type | Organization |
Organization Name | METRO TREATMENT OF MISSISSIPPI, LP |
Other Organization Name | MERIDIAN TREATMENT CENTER |
Practice Address |
2419 10th St Meridian MS 39301-5040 |
Mailing Address |
2500 Maitland Center Pkwy Suite 250 Maitland FL 32751-7224 |
Practice Telephone | 4073517080 |
Mailing Telephone | 4073517080 |
Enumeration Date | 2017-02-16 |
Last Update Date | 2019-08-15 |
Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
Authorized Official Telephone | 4073517080 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Meridian Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124559976 | Metro Treatment of Mississippi, Lp | Clinic/Center | 1989 Pass Rd, Biloxi, MS 39531-4103 | 2017-03-23 |
Street Address |
2419 10TH ST |
City | MERIDIAN |
State | MS |
Zip Code | 39301-5040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902398290 | Kirby Renae Pough | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-06-01 |
1891283651 | Lakrystal Ann Love | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
1205324977 | Tealacy Mitchell | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811421548 | Center for Behavioral Health Idaho, Inc. | Clinic/Center | 2275 S Eagle Rd, Suite 190, Meridian, ID 83642-5079 | 2017-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861928541 | Metro Treatment of Mississippi Lp | Clinic/Center | 8900 Delta Bluffs Cove, Walls, MS 38680 | 2017-05-02 |
1124559976 | Metro Treatment of Mississippi, Lp | Clinic/Center | 1989 Pass Rd, Biloxi, MS 39531-4103 | 2017-03-23 |
1629510540 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 | 2016-11-09 |
1467998344 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 14070 Dedeaux Rd, Gulfport, MS 39503-4502 | 2017-01-16 |
1164878419 | Ann Marshall | Clinic/Center | 2964 Terry Rd, Jackson, MS 39212-3055 | 2016-05-05 |
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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.