NPIMap

Organization Active NPI

Alcohol & Drug Dependency Services

  • Substance Abuse Rehabilitation Facility
  • Wapello, IA
National Provider Identifier
1043486400
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ALCOHOL & DRUG DEPENDENCY SERVICES
Practice address
304 Highway 61 N
Wapello, IA 52653-1243
Phone
(319) 523-8436
Fax
(319) 523-8436
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Swanson, PH.D.
Title
Executive Director
Phone
(319) 753-6567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X IA Primary

Addresses

Primary practice location

304 Highway 61 N
Wapello, IA 52653-1243

Mailing address

1340 Mount Pleasant St
Burlington, IA 52601-2623
Phone (319) 753-6567

National Provider Directory

National Provider Directory
Tax ID family
Alcohol Drug Dependency Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 Highway 61 N
Wapello, IA 52653
Phone (319) 523-8436

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1043486400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012623",
            "telephone_number": "319-753-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HIGHWAY 61 N",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531243",
            "telephone_number": "319-523-8436",
            "fax_number": "319-523-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL & DRUG DEPENDENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-753-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.