1457552374 NPI number — MFI RECOVERY

Table of content: (NPI 1457552374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457552374 NPI number — MFI RECOVERY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MFI RECOVERY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MFI RECOVERY CENTER HEMET OUTPATIENT SERVICES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457552374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5870 ARLINGTON AVENUE
Provider Second Line Business Mailing Address:
103
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-683-6596
Provider Business Mailing Address Fax Number:
951-351-1554

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
950 N STATE ST STE D&E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEMET
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-683-6596
Provider Business Practice Location Address Fax Number:
951-683-4239
Provider Enumeration Date:
05/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POPLAR
Authorized Official First Name:
JASON
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
951-683-6596

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02443200 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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