Alano Club of Terre Haute

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALANO CLUB OF TERRE HAUTE

Practice address

1330 Lafayette Ave
Terre Haute, IN 47804-2635

Phone

(812) 230-4265

Fax

(812) 645-0708

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Kevin D Ball

Title

Program Director

Phone

(812) 230-4265

Specialties & licenses 1

Addresses

Other names 1

• Club Soda Doing business as

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1154895993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042635",
            "telephone_number": "812-230-4265",
            "fax_number": "812-645-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042635",
            "telephone_number": "812-230-4265",
            "fax_number": "812-645-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALANO CLUB OF TERRE HAUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "812-230-4265"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Club Soda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augustina Aidoo, MSW
• Skylar Marie Akers, RBT
• Victoria Akers
• Ahmad Al-Shoha, MD
• Mohammad S Alam, MD
• Daniel Albanes
• Caitlyn Erica Albeos
• Falynne Albright
• Gregory Alan Aldrich, RPH
• Marcy Aldrich, WHNP-BC

• All providers in Terre Haute, IN
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.