Northwest Drug Rehabilitation Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

4301045243 Issued in MI

Legal business name

NORTHWEST DRUG REHABILITATION INC

Practice address

9600 Dexter Ave
Detroit, MI 48206-1816

Phone

(313) 894-7881

Fax

(313) 894-6312

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST INDUSTRIAL & MEDICAL SERVICES PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natasha Purry

Title

Medical Billing Specialist

Phone

(248) 739-6343

Specialties & licenses 1

Addresses

Tax ID family

Northwest Industrial Drug Rehabilitation Clinic3 organizations share this tax ID, including this one

Part of

Northwest Industrial and Medical Services PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Industrail Drug Rehabilitation Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1275833709
  NPD tax ID
• Northwest Industrial Drug Rehabilitation Clinic

  • Methadone Clinic
  • Detroit, MI
  • NPI 1821112103
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Industrial and Medical Services PC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1346364619
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1679873798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061816",
            "telephone_number": "313-894-7881",
            "fax_number": "313-894-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061816",
            "telephone_number": "313-894-7881",
            "fax_number": "313-894-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DRUG REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST INDUSTRIAL & MEDICAL SERVICES PC",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "PURRY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "248-739-6343"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "4301045243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northside Medical Clinic Management Company
• Northstar Home Medical Equipment Inc
• Northstar Home Medical Equipment Inc.
• Northwest Dental Clinic, PLLC
• Northwest Detroit Dialysis Center, LLC
• Northwest Eye Foundation
• Northwest Eye Foundation
• Northwest Housecall Doctor & Nurse Practitioners
• Northwest Industrail Drug Rehabilitation Clinic
• Northwest Industrial and Medical Services PC

• Methadone Clinic in Detroit, MI
• Providers in Detroit, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.