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METRO TREATMENT OF WI LP NPI 1023223831


NPI Information

NPI: 1023223831
Provider Name: METRO TREATMENT OF WI, LP

Doing Business As: EAU CLAIRE METRO TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2000 OXFORD AVE, BLDG. 2
MAILBOX 4
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 834-1078
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METRO TREATMENT OF WI, LP is a methadone clinic center in Eau Claire, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. METRO TREATMENT OF WI, LP NPI is 1023223831. The provider is registered as an organization entity type.
The provider Is Doing Business As Eau Claire Metro Treatment Center.

The provider's business location address is:

2000 OXFORD AVE, BLDG. 2
MAILBOX 4
EAU CLAIRE, WI
ZIP 54703-187
Phone: (715) 834-1078
Fax: (715) 834-1218

The provider's authorized official is Rodney Williams .
The authorized official title is Cfo and has the following contact phone number (407) 351-7080.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2537WISCONSINNo
2261QM2800XClinic/CenterMethadone2537WISCONSINNo
3332900000XNon-Pharmacy Dispensing SiteNo
4261QM2800XClinic/CenterMethadoneYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142241000MEDICAIDWISCONSIN
242030900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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