Organization
BHG LXXIV, LLC
Active
Other names
BHG Medical Services - Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
1301 VANDIVER DR STE Y, COLUMBIA, MO 65202-3918
(573) 449-8338
(573) 449-8344
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/26/2024
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