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NPI · 1285631978 · NPPES-sourced

Santa Rosa Treatment Program, Inc.

ActiveMethadone Clinic
NPI Number
1285631978
Type 2 · Organisation
Taxonomy Code
261QM2800X
Contact
(707) 576-0818
License CA · 49-02
Last Updated
Enumerated
Primary practice addressCA · 95403-3127
625 Steele LaneSanta Rosa, CA 95403-3127
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About this NPIWhat this record shows.

NPI 1285631978 is registered to Santa Rosa Treatment Program, Inc., a healthcare organisation classified as "Methadone Clinic" and located at 625 Steele Lane in Santa Rosa, California. The organisation's authorised official is Lee Tillman. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 3631909CA· Issued by EDD STATE PROVIDER
  • CA-10228-M· Issued by CSAT (SAMHSA)
  • 49-02CA· Issued by DHCS NTP

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Santa Rosa Treatment Program, Inc. accepts. To confirm in-network status with your specific health plan, contact Santa Rosa Treatment Program, Inc. directly at (707) 576-0818.

Frequently asked

Yes. NPI 1285631978 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Methadone Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 576-0818.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Santa Rosa Treatment Program, Inc. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QM2800X
Last updated
Enumerated
StatusActive
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