Organization · Type 2 NPI

BHG Lxxxvii, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Coeur D'alene, ID

NPI number 1235844820 Active

Practice location

2426 N Merritt Creek Loop, Suite B, Obot Room #100
Coeur D'alene, ID 83814-4961

Call (208) 296-5385 Map

Fax (208) 296-5387

Mailing address

5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-3946

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Methadone Clinic	261QM2800X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1235844820
Entity type: Organization (Type 2)
Issued: Jan 18, 2023
Last updated: Sep 23, 2024
Status: Active

Other names

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BHG Medical Services - Idaho · doing business as
BHG Medical Services - Idaho · doing business as

Authorized official

Zack Ragsdale
Director
(512) 454-5911

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235844820

BHG Lxxxvii, LLC's National Provider Identifier is 1235844820, issued on Jan 18, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Coeur D'alene, ID. The record was last updated on Sep 23, 2024.