NPIMap

Organization Active NPI

Mercer County Alcohol & Drug Abuse Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Celina, OH
National Provider Identifier
1700946993
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MERCER COUNTY ALCOHOL & DRUG ABUSE CENTER INC.
Practice address
800 Pro Dr
Celina, OH 45822-1360
Phone
(419) 586-4030
Fax
(419) 586-4030
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mrs. Teresa L Smith
Title
Executive Director
Phone
(419) 586-4030

Specialties & licenses 1

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

Addresses

Primary practice location

800 Pro Dr
Celina, OH 45822-1360

Mailing address

800 Pro Dr
Celina, OH 45822-1360
Phone (419) 586-4030

Other names 1

  • Gateway Outreach Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1700946993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRO DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221360",
            "telephone_number": "419-586-4030",
            "fax_number": "419-586-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRO DR",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221360",
            "telephone_number": "419-586-4030",
            "fax_number": "419-586-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY ALCOHOL & DRUG ABUSE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-586-4030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Outreach Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.