MIDWEST RECOVERY CENTER LLC NPI 1407326366

NPI Information

NPI: 1407326366
Provider Name: MIDWEST RECOVERY CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2269226

Address:
4747 MONROE ST
TOLEDO, OH
ZIP 43623
Phone: (866) 203-0308
Get Directions

MIDWEST RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in Toledo, OH. MIDWEST RECOVERY CENTER LLC NPI is 1407326366. The provider is registered as an organization entity type.

The provider's business location address is:

4747 MONROE ST
TOLEDO, OH
ZIP 43623-307
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 36D2269226 - other - behavioral health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 3/11/2024.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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
1	0326341	MEDICAID	OHIO
2	0309004	MEDICAID	OHIO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »