NPIMap

Organization Active NPI

Alcohol & Drug Dependency Services

  • Rehabilitation Clinic/Center
  • Davenport, IA
National Provider Identifier
1316218928
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ALCOHOL & DRUG DEPENDENCY SERVICES
Practice address
320 N. Main St.
Davenport, IA 52801
Phone
(563) 322-1036
Fax
(563) 322-1086
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Richard Swanson, PH.D.
Title
Executive Director
Phone
(319) 753-6567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X IA Primary

Addresses

Primary practice location

320 N. Main St.
Davenport, IA 52801

Mailing address

1340 Mt. Pleasant St.
Burlington, IA 52601
Phone (319) 753-6567

National Provider Directory

National Provider Directory
Tax ID family
Alcohol Drug Dependency Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

320 N Main St
Davenport, IA 52801
Phone (563) 322-1036

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1316218928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MT. PLEASANT ST.",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-753-6567",
            "fax_number": "319-753-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N. MAIN ST.",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52801",
            "telephone_number": "563-322-1036",
            "fax_number": "563-322-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL & DRUG DEPENDENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-753-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.