Organization · Type 2 NPI

BHG Lxxiv, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Poplar Bluff, MO

NPI number 1629789961 Active

Practice location

1369 N Westwood Blvd Ste C
Poplar Bluff, MO 63901-3313

Call (573) 722-7937 Map

Fax (573) 785-0346

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic	261QM2800X	None listed
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: 1629789961
Entity type: Organization (Type 2)
Issued: Dec 7, 2022
Last updated: Dec 26, 2024
Status: Active
Subpart: Yes of BHG Lxxiv, LLC

Other names

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

Authorized official

Jay Higham
CEO
(214) 365-6112

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 1629789961

BHG Lxxiv, LLC's National Provider Identifier is 1629789961, issued on Dec 7, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Poplar Bluff, MO. The record was last updated on Dec 26, 2024.