Phoenix Programs, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHOENIX PROGRAMS, INC.

Doing business as

Phoenix Health Programs

Practice address

90 E Leslie LN
Columbia, MO 65202-1535

Phone

(573) 875-8880

Fax

(573) 442-3830

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Lynne Cameron, RASAC II

Title

Veterans Specialist

Phone

(573) 875-8880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Phoenix Health Programs Doing business as

Tax ID family

Phoenix Health Programs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Phoenix Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbia, MO
  • NPI 1437213634
  NPD tax ID
• Phoenix Programs, Inc.

  • Professional Counselor
  • Columbia, MO
  • NPI 1851873608
  NPD tax ID
• Phoenix Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1912354572
  NPD tax ID

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1265757991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E LESLIE LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021535",
            "telephone_number": "573-875-8880",
            "fax_number": "573-442-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E LESLIE LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021535",
            "telephone_number": "573-875-8880",
            "fax_number": "573-442-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "VETERANS SPECIALIST",
        "authorized_official_telephone_number": "573-875-8880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RASAC II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "324500000X",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QR0405X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Health Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Phillips, MD
• Roy W Phillips, MD
• Taylor Lee Phillips
• Nicholas Philpot, ATC
• Phoenix Home Care, Inc.
• Phoenix Programs, Inc.
• Phoenix Programs, Inc.
• Phoenix Programs, Inc.
• Physician Groups LC
• Physician Groups LC

• Substance Abuse Rehabilitation Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.