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Spirit Lake Recovery, Llc

Substance Abuse Rehabilitation Facility

DAN SUMROK
NPI: 1114168564Mc Kenzie, Tennessee, 38201(731) 393-0304

About Spirit Lake Recovery, Llc

Spirit Lake Recovery, Llc is a healthcare organization providing Substance Abuse Rehabilitation Facility services, registered under National Provider Identifier (NPI) number 1114168564. The authorized official for Spirit Lake Recovery, Llc is DAN SUMROK.

The organization is headquartered at 1060 OLD MCKENZIE RD, Mc Kenzie, Tennessee 38201. The main office can be reached at (731) 393-0304. Spirit Lake Recovery, Llc has been NPI-registered since 2009.

Locations & Contact

Primary Location

Address
1060 OLD MCKENZIE RD
City
Mc Kenzie
State
Tennessee
ZIP
38201-8667
Phone
(731) 393-0304
View on Google Maps

Authorized Official

Name
DAN SUMROK

Mailing Address

Address
1060 OLD MCKENZIE RD
City
MC KENZIE
State
TN
ZIP
382018667

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Substance Abuse Rehabilitation Facility
Classification
Substance Abuse Rehabilitation Facility
Taxonomy Code
324500000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Spirit Lake Recovery, Llc's NPI number?
Spirit Lake Recovery, Llc's National Provider Identifier (NPI) is 1114168564. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Spirit Lake Recovery, Llc specialize in?
Spirit Lake Recovery, Llc specializes in Substance Abuse Rehabilitation Facility.
Where is Spirit Lake Recovery, Llc located?
Spirit Lake Recovery, Llc practices at 1060 OLD MCKENZIE RD, Mc Kenzie, Tennessee 38201. You can reach them by phone at (731) 393-0304.
Does Spirit Lake Recovery, Llc accept Medicare?
Based on available data, Spirit Lake Recovery, Llc is not currently enrolled in the Medicare program.
Does Spirit Lake Recovery, Llc offer telehealth or virtual visits?
Spirit Lake Recovery, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Spirit Lake Recovery, Llc holds NPI 1114168564, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.