Organization Active NPI

Vcphcs Xxii, LLC

  • Methadone Clinic
  • Lufkin, TX
National Provider Identifier
1124464136
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
1000038 Issued in TX
Legal business name
VCPHCS XXII, LLC
Practice address
105 E Bremond Ave
Lufkin, TX 75901-3025
Phone
(936) 637-2223
Fax
(936) 637-2220
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Mr. James Frederick Draudt
Title
Coo
Phone
(214) 365-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 1000038 TX Primary

Addresses

Primary practice location

105 E Bremond Ave
Lufkin, TX 75901-3025

Mailing address

8300 Douglas Ave
Suite 750
Dallas, TX 75225-5603
Phone (214) 365-6100

Other names 1

  • BHG Lufkin Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

105 E Bremond Ave
Lufkin, TX 75901
Phone (936) 637-2223

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1124464136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE",
            "address_2": "SUITE 750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255603",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BREMOND AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013025",
            "telephone_number": "936-637-2223",
            "fax_number": "936-637-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS XXII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "DRAUDT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-365-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "1000038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Lufkin Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.