Civigenics

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CIVIGENICS

Practice address

106 Kit Carson Road
Fort Stanton, NM 88323

Phone

(505) 354-8305

NPI assigned

Feb 7, 2008

Organization subpart

Yes

Parent organization

COMMUNITY EDUCATION CENTERS, INC.As reported in NPPES

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

Authorized official

Name

Mr. John J. Clancy

Title

Chairman/Ceo

Phone

(973) 226-2900

Specialties & licenses 1

Addresses

Tax ID family

Civigenics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Education Centers

  • Substance Abuse Rehabilitation Facility
  • Chesapeake, VA
  • NPI 1174759047
  NPD tax ID

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1992983316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 98",
            "address_2": "NEW MEXICO HIGHTWAY 220",
            "city": "FORT STANTON",
            "state": "NM",
            "postal_code": "88323",
            "telephone_number": "505-354-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 KIT CARSON ROAD",
            "city": "FORT STANTON",
            "state": "NM",
            "postal_code": "88323",
            "telephone_number": "505-354-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIGENICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY EDUCATION CENTERS, INC.",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHAIRMAN/CEO",
        "authorized_official_telephone_number": "973-226-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.