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Contact Information

BHG LXXXVI, LLC
3811 NORTH HARRISON STREET
OBOT ROOM #100
DAVENPORT, IA52806-5911
 Phone: 563-388-8000
 Fax: 563-388-8002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Methadone

261QM2800X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for BHG LXXXVI, LLC

NPI # 1093421026
LBN Legal business name BHG LXXXVI, LLC
Authorized official ANTHONY KILGORE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2023
Last updated 09/22/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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