Organization · Type 2 NPI

Applegate Health Services, Inc

Substance Use Disorder Rehabilitation Clinic/Center · Fairmont, WV

NPI number 1447969878 Active

Practice location

51 Southland Dr Unit 4
Fairmont, WV 26554-0129

Call (681) 214-1909 Map

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

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

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NPI record

NPI: 1447969878
Entity type: Organization (Type 2)
Issued: Nov 15, 2022
Last updated: Jul 29, 2024
Status: Active

Other names

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Applegate Recovery Fairmont · doing business as
Applegate Recovery Fairmont · doing business as

Authorized official

Bruce Jarvie
VP, Treasurer
(214) 379-3300

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 1447969878

Applegate Health Services, Inc's National Provider Identifier is 1447969878, issued on Nov 15, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fairmont, WV. The record was last updated on Jul 29, 2024.