Active NPI
HTC Outpatient Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Benton Harbor, MI
National Provider Identifier
1497058226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 110105
- Legal business name
- HTC OUTPATIENT SERVICES
- Practice address
- 1022 E Main St
Benton Harbor, MI 49022-3036 - Phone
- (269) 926-0015
- Fax
- (269) 926-0123
- NPI assigned
- Dec 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darien L. Smith Lamarck Smith
- Title
- Member
- Phone
- (269) 926-0015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 110105 | MI | Primary |
Addresses
Primary practice location
1022 E Main St
Benton Harbor, MI 49022-3036
Mailing address
1022 E Main St
P.O. Box 929
Benton Harbor, MI 49022-3036
Phone (269) 926-0015
National Provider Directory
National Provider DirectoryLocations
1022 E Main St
Benton Harbor, MI 49022
Phone (269) 926-0015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1497058226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 E MAIN ST",
"address_2": "P.O. BOX 929",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223036",
"telephone_number": "269-926-0015",
"fax_number": "269-926-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 E MAIN ST",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223036",
"telephone_number": "269-926-0015",
"fax_number": "269-926-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HTC OUTPATIENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DARIEN L. SMITH",
"authorized_official_middle_name": "LAMARCK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "269-926-0015",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MI",
"license": "110105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.