Applegate Health Services of Tennessee, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

APPLEGATE HEALTH SERVICES OF TENNESSEE, INC.

Practice address

2408 Susannah St
Johnson City, TN 37601-1732

Phone

(423) 434-6677

Fax

(423) 461-0000

NPI assigned

Jun 5, 2021

Organization subpart

No

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

Authorized official

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 1

Addresses

Other names 1

• AppleGate Recovery Johnson City Doing business as

Tax ID family

Applegate Health Services of Tennessee Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Applegate Health Services of Tennessee, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dickson, TN
  • NPI 1447851175
  NPD tax ID
• Applegate Health Services of Tennessee, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
  • NPI 1447961644
  NPD tax ID
• Applegate Health Services of Tennessee, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashville, TN
  • NPI 1912465121
  NPD tax ID
• Applegate Health Services of Tennessee, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greeneville, TN
  • NPI 1821665225
  NPD tax ID

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1194392597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011732",
            "telephone_number": "423-434-6677",
            "fax_number": "423-461-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE HEALTH SERVICES OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AppleGate Recovery Johnson City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AppleGate Recovery Johnson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.