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NPI Code Detail

MEDICARE: DAVID HILL CDCA

MEDICARE: DAVID HILL CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161672OH
3101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.164312OH

General Provider Information

NPI Number : 1629581442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HILL CDCA
Provider Business Mailing Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-479-5135
Fax Number :
Provider Business Practice Location Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-479-5135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 02/15/2021

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Directions to “ DAVID HILL CDCA” Practice Location

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