Organization Active NPI

HTC Outpatient Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Benton Harbor, MI
National Provider Identifier
1497058226
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
110105 Issued in MI
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

Updated by the provider on Dec 16, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.