NPI 1093118176 THOMAS HATHORN LAKESIDE CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Thomas Hathorn - NPI: 1093118176

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: THOMAS HATHORN
NPI Number: 1093118176
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 370139AN
Business Practice Address: 24352 Featherstone Canyon Rd.
Lakeside, CA - 92040
Business Phone Number: 6197977319
Business Fax Number:
Mailing Address: Po Box 1279,
LAKESIDE
State: CA
Postal Code: 920400908
Phone Number: 8587174322
Fax Number:
NPI Enumeration Date: 10/02/2014
NPI Last Update Date: 10/02/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 324500000X
License Number: 370139AN
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Substance Abuse Rehabilitation Facility
Taxonomy Specialization:
Taxonomy Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


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