HARBORTOWN TREATMENT CENTER PLLC NPI 1154414183

NPI Information

  • NPI: 1154414183
  • Provider Name: HARBORTOWN TREATMENT CENTER PLLC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Address: 1022 E MAIN ST
    BENTON HARBOR, MI
    ZIP 49022
  • Phone: (269) 926-0015

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NPI Details

HARBORTOWN TREATMENT CENTER PLLC is a methadone clinic center in Benton Harbor, MI. 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. HARBORTOWN TREATMENT CENTER PLLC NPI is 1154414183. The provider is registered as an organization entity type.

The provider's business location address is:

1022 E MAIN ST
BENTON HARBOR, MI
ZIP 49022-036
Phone: (269) 926-0015
Fax: (269) 926-0123

The provider's authorized official is Darien Smith .
The authorized official title is Program Director and has the following contact phone number (269) 926-0015.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 5/7/2008.

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
1261QM2800XClinic/CenterMethadone110093MICHIGANYes

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: 3/30/2025

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