NPIMap

Organization Active NPI

Chillicothe Acute Care Clinic, Inc.

Doing business as Anchor Addiction and Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
National Provider Identifier
1689271827
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CHILLICOTHE ACUTE CARE CLINIC, INC.
Doing business as
Anchor Addiction and Wellness Center
Practice address
5555 Airport Hwy Ste 132
Toledo, OH 43615-7380
Phone
(567) 742-7200
NPI assigned
Oct 1, 2020
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Michelle GallowayNPI 1245729334
Title
President
Phone
(985) 285-0381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5555 Airport Hwy Ste 132
Toledo, OH 43615-7380

Mailing address

PO Box 160
Slidell, LA 70459-0160
Phone (985) 726-9605

Other identifiers 1

IdentifierTypeStateIssuer
0438588MedicaidOH

Other names 1

  • Anchor Addiction and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190724000748 OH Part B Supplier - Clinic/Group Practice 1658607015 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chillicothe, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5555 Airport Hwy
Ste 132
Toledo, OH 43615
Phone (567) 742-7200

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1689271827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704590160",
            "telephone_number": "985-726-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 AIRPORT HWY STE 132",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157380",
            "telephone_number": "567-742-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILLICOTHE ACUTE CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-285-0381"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Addiction and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anchor Addiction and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.