MIDWEST ADDICTION TREATMENT SERVICES LLC – NPI #1376300137
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

MIDWEST ADDICTION TREATMENT SERVICES LLC is a provider located in NEW RICHMOND, WI. NPPES has assigned the NPI number 1376300137 to MIDWEST ADDICTION TREATMENT SERVICES LLC on February 28, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDWEST ADDICTION TREATMENT SERVICES LLC below.

NPI Profile for
MIDWEST ADDICTION TREATMENT SERVICES LLC

NPI Number
1376300137
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDWEST ADDICTION TREATMENT SERVICES LLC
Primary location
450 S GREEN AVE
NEW RICHMOND, WI 54017
Phone: (715) 807-7917 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CESAR COBARRUVIAS
CMO
Phone: (715) 807-7917
Updated
Certification Date
Feb 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
324500000X
- Substance Abuse Rehabilitation Facility
261QP2300X
- Clinic/Center / Primary Care
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.