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

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. MARY ELIZABETH DEGRUY
Authorized Official Title: PROGRAM DIRECTOR
Authorized Official Phone: (253) 284-7821

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

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.

METROPALITAN DEVELOPMENT COUNCIL

Community/Behavioral Health

721 FAWCETT AVE
SUITE 101
TACOMA, WA
ZIP 98402

About TACOMA DETOXIFICATION CENTER

Location Map

Specialty - Primary Taxonomy

Substance Abuse Rehabilitation Facility

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

MS. MARY ELIZABETH DEGRUY

Additional Identifiers

Reviews for TACOMA DETOXIFICATION CENTER

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is TACOMA DETOXIFICATION CENTER's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does TACOMA DETOXIFICATION CENTER accept?