TACOMA DETOXIFICATION CENTER
NPI 1285757450
Substance Abuse Rehabilitation Facility in Tacoma, WA
NPI Status: Active since April 10, 2007
Contact Information
721 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402
Phone: (253) 593-2413
Fax: (253) 627-4817
- Organization
- Substance Abuse Rehabilitation Facility
About TACOMA DETOXIFICATION CENTER
This page provides the complete NPI Profile along with additional information for Tacoma Detoxification Center, a provider established in Tacoma, Washington operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1285757450 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number RTF1067 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Mary Elizabeth Degruy (Program Director)
- NPI
- 1285757450
- Provider Name
- TACOMA DETOXIFICATION CENTER
- Entity Type
- Organization
- Location Address
- 721 FAWCETT AVE SUITE 100 TACOMA, WA 98402
- Location Phone
- (253) 593-2413
- Location Fax
- (253) 627-4817
- Mailing Address
- 721S FAWCETT STE 100 TACOMA, WA 98402
- Mailing Phone
- (253) 593-2413
- Mailing Fax
- (253) 627-4817
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- RTF1067
- License State
- WA
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1994219 | MEDICAID (05) | WA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 7 | 5 | 7 | 4 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 14 | 5 | 14 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 4 + 5 + 1 + 4 + 4 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1285757450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033365929 | METROPALITAN DEVELOPMENT COUNCIL Organization | Community/Behavioral Health | 721 FAWCETT AVE SUITE 101 TACOMA, WA 98402 (253) 284-9041 |
| 1831660513 | LEANDRA CALHOUN CO60907699 Individual | Counselor (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 593-2740 |
| 1659842334 | AMBER JEAN DAHLE Individual | Counselor (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 651-2922 |
| 1467923003 | MR. THERON REGINALD PARKS CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 284-7820 |
| 1306317979 | MS. MARIAM SSEMAKULA RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 593-2413 |
| 1346711983 | BELLETTE JAMISON WILLIAMS CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 284-7874 |
| 1396209656 | GWEN BARRIOS ALVORD Individual | Case Manager/Care Coordinator | 721 FAWCETT AVE TACOMA, WA 98402 (253) 345-9604 |
| 1245795327 | SHANNON HAYES Individual | Peer Specialist | 721 FAWCETT AVE TACOMA, WA 98402 (253) 284-7811 |
| 1790259166 | TONIA A HESS LPN Individual | Licensed Practical Nurse | 721 FAWCETT AVE TACOMA, WA 98402 (253) 318-1861 |
| 1821554098 | MR. CALEB JINKYU YI Individual | Case Manager/Care Coordinator | 721 FAWCETT AVE TACOMA, WA 98402 (253) 341-9771 |
| 1396083101 | MRS. VICTORIA LYNN CHITTENDEN CO60298403 Individual | Case Manager/Care Coordinator | 721 FAWCETT AVE TACOMA, WA 98402 (253) 473-7586 |
| 1801452313 | TONI CULBERSON Individual | Counselor (Addiction (Substance Use Disorder)) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 284-9022 |
| 1073134565 | MISS GRETCHEN MCCLELLAND LMHC Individual | Counselor (Mental Health) | 721 FAWCETT AVE TACOMA, WA 98402 (253) 284-9041 |
| 1750902284 | CAROL GIJIMA Individual | Registered Nurse | 721 FAWCETT AVE TACOMA, WA 98402 (253) 383-3921 |
| 1518589985 | DORIS JEAN TUCKER Individual | Peer Specialist | 721 FAWCETT AVE TACOMA, WA 98402 (253) 593-2413 |
| 1376165571 | JACILYN KAY T HERR Individual | Nutritionist | 721 FAWCETT AVE TACOMA, WA 98402 (253) 355-9866 |
| 1053933358 | CORINNE CRUZ Individual | Social Worker | 721 FAWCETT AVE TACOMA, WA 98402 (253) 207-4301 |
| 1316569460 | BREEZI WILLIAMS Individual | Behavior Technician | 721 FAWCETT AVE TACOMA, WA 98402 (253) 207-4301 |
| 1780200550 | NATASCHA JACKSON Individual | Case Manager/Care Coordinator | 721 FAWCETT AVE TACOMA, WA 98402 (253) 312-5813 |
| 1700402872 | BLASE CHRISTIAN KISSINGER RN Individual | Registered Nurse | 721 FAWCETT AVE TACOMA, WA 98402 (253) 593-2413 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285757450, enumerated in the NPI registry as an "organization" on April 10, 2007
The provider is located at 721 Fawcett Ave Suite 100 Tacoma, Wa 98402 and the phone number is (253) 593-2413
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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