ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC (NPI# 1730562026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730562026 |
| Entity Type | Organization |
| Organization Name | ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC |
| Practice Address |
1401 E Rusk St Jacksonville TX 75766-3400 |
| Mailing Address |
Po Box 1008 Jacksonville TX 75766-1008 |
| Practice Telephone | 9032846802 |
| Practice Fax Number | 9032846803 |
| Mailing Telephone | 9032846802 |
| Mailing Fax Number | 9032846803 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MRS. CATHERINE JEAN WALLUM (PROGRAM SPONSOR) |
| Authorized Official Telephone | 9035712731 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
TX | Ambulatory Health Care Facilities |
| Street Address |
1401 E RUSK ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965508 | Sammy Lee Smith | Chiropractor | 1401 E Rusk St, Jacksonville, TX 75766-3400 | 2005-07-13 |
| 1487081360 | Nanamae LLC | Clinic/Center | 1401 E Rusk St, Jacksonville, TX 75766-3400 | 2013-10-09 |
| 1619094661 | Sam L. Smith Dc,pc | Chiropractor | 1401 E Rusk St, Jacksonville, TX 75766-3400 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| 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 |
|---|---|---|---|---|
| 1467838706 | Metro Treatment of Florida, Lp | Clinic/Center | 590 Ellis Rd S, Bldg. 4, Jacksonville, FL 32254-3555 | 2015-08-10 |
| 1033546080 | River Region Human Services | Clinic/Center | 2055 Reyko Rd, Suite 101, Jacksonville, FL 32207-2822 | 2013-10-07 |
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| 1609496488 | Cagnolatti and Henderson Inc. | Clinic/Center | 1451 Empire Central Dr Ste 900, Dallas, TX 75247-4096 | 2020-04-21 |
| 1730652751 | North West Frontier Recovery Pllc | Clinic/Center | 225 Metro Dr Ste 100, Terrell, TX 75160-9103 | 2019-01-03 |
| 1811417397 | Mars S.a. LLC. | Clinic/Center | 437 Mccarty Rd Ste 600, San Antonio, TX 78216-4445 | 2017-06-26 |
| 1689194151 | Medication Assisted Recovery Services Mars, LLC | Clinic/Center | 1101 Arrow Point Dr Ste 214, Cedar Park, TX 78613-7739 | 2017-06-26 |
| 1245765585 | Crossroads Treatment Center of Fort Worth, Pllc | Clinic/Center | 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2017-04-24 |
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1902263478 | Eldorado Texas Community Service Center | Clinic/Center | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-01-28 |
| 1891169215 | Medmark Treatment Centers of Texas,inc | Clinic/Center | 5004 Alameda Ave, El Paso, TX 79905-2804 | 2015-11-23 |
| 1598133472 | Inspired Hope Group LLC | Clinic/Center | 1228 W Scyene Rd Ste 230, Mesquite, TX 75149-3143 | 2015-09-09 |
| 1184036790 | Mcet-waskom Limited Liability Company | Clinic/Center | 670 Spur 156, Waskom, TX 75692-9129 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
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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.