Jackson Recovery Centers, Inc., NPI 1811994973
Substance Abuse Rehabilitation Facility in Sioux City, IA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1811994973 |
| NPI Entity Type | Organization |
| Provider Name | Jackson Recovery Centers, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 800 5th St, Suite 200, Sioux City, IA, US |
| Provider Mailing Address | 800 5th Street, Sioux City, IA, US, 51101 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Julie Enockson |
| Official Position | VICE PRESIDENT CHIEF FINANCIAL OFFI |
| Phone | 712-234-2302 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| IA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00-55012 | IA | MEDICAID | 05 |
| 68223 | IA | WELLMARK PROVIDER NUMBER | 01 |
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