# BASECAMP RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BASECAMP RECOVERY CENTER
- **Other names:** Basecamp Recovery Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760157861
- **Legal business name:** BASECAMP RECOVERY CENTER
- **Authorized official:** MICHELLE JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (614) 717-0822

## Contact information

- **Practice address:** 815 WEST BROAD STREET, COLUMBUS, OH 43222
- **Practice address phone:** (614) 300-7205
- **Practice address fax:** (614) 300-7223
- **Mailing address:** 815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
- **Mailing address phone:** (614) 717-0822
- **Mailing address fax:** (614) 300-7223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 11/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36-89099 | NCPDP | — |