Organization Active NPI

Duffy's Myrtledale, Inc.

  • Substance Abuse Rehabilitation Facility
  • Calistoga, CA
National Provider Identifier
1275797151
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
280002AP Issued in CA
Legal business name
DUFFY'S MYRTLEDALE, INC.
Practice address
3076 Myrtledale Rd
Calistoga, CA 94515-1052
Phone
(707) 942-6888
Fax
(707) 942-4819
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Debbie Duffy
Title
Executive Director
Phone
(707) 942-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 280002AP CA Primary

Addresses

Primary practice location

3076 Myrtledale Rd
Calistoga, CA 94515-1052

Mailing address

3076 Myrtledale Rd
Calistoga, CA 94515-1052
Phone (707) 942-6888

National Provider Directory

National Provider Directory

Locations

3076 Myrtledale Rd
Calistoga, CA 94515
Phone (707) 403-8529

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1275797151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 MYRTLEDALE RD",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151052",
            "telephone_number": "707-942-6888",
            "fax_number": "707-942-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 MYRTLEDALE RD",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151052",
            "telephone_number": "707-942-6888",
            "fax_number": "707-942-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFY'S MYRTLEDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-942-6888"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "280002AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calistoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.