MIDWEST DETOX CENTER LLC NPI 1003337734

NPI Information

  • NPI: 1003337734
  • Provider Name: MIDWEST DETOX CENTER LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: OHIO DETOX CENTER
  • CLIA Number: 36D2133043
  • Address: 1757 INDIAN WOOD CIR STE A
    MAUMEE, OH
    ZIP 43537
  • Phone: (866) 203-0308

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NPI Details

MIDWEST DETOX CENTER LLC is a substance abuse rehabilitation facility in Maumee, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MIDWEST DETOX CENTER LLC NPI is 1003337734. The provider is registered as an organization entity type.
The provider Is Doing Business As Ohio Detox Center.

The provider's business location address is:

1757 INDIAN WOOD CIR STE A
MAUMEE, OH
ZIP 43537-009
Phone: (866) 203-0308

The provider's authorized official is Kim Brown .
The authorized official title is Director Of Compliance and has the following contact phone number (870) 243-7219.

The CLIA number assigned to this NPI record is 36D2133043 - other - sud treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 1/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10281740MEDICAIDOHIO

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: 11/21/2025

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