Oxyclean Ambulatory Opiate Detox Centers LLC
NPI 1033624812 · Addiction Medicine (Family Medicine) Physician · Waynesville, OH
Oxyclean Ambulatory Opiate Detox Centers LLC is a Addiction Medicine (Family Medicine) Physician organization in Waynesville, OH (NPI 1033624812).
Provider details
- NPI number
- 1033624812
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Russell, President(937) 718-7677
- License
- 35050063 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Not Ltd
Additional practice locations (4)
- 11134 Luschek DrBlue Ash, OH 45241-2434Phone: (513) 827-9273
- 1 Elizabeth PlDayton, OH 45417-3445Phone: (937) 203-2469
- 2611 Wayne AveDayton, OH 45420-1833Phone: (937) 256-7801
- 313 Chillicothe AveHillsboro, OH 45133-7378Phone: (937) 393-9720
Registry dates
- Enumerated
- 2017-12-03
- Last updated
- 2018-03-17
Frequently asked questions
- What is Oxyclean Ambulatory Opiate Detox Centers LLC's NPI number?
- Oxyclean Ambulatory Opiate Detox Centers LLC's National Provider Identifier (NPI) is 1033624812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oxyclean Ambulatory Opiate Detox Centers LLC?
- Oxyclean Ambulatory Opiate Detox Centers LLC is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Oxyclean Ambulatory Opiate Detox Centers LLC located?
- Oxyclean Ambulatory Opiate Detox Centers LLC's practice location on file with NPPES is 415 S Main St, Waynesville, OH 45068-9553.
- What is Oxyclean Ambulatory Opiate Detox Centers LLC's phone number?
- The practice phone number listed in the NPPES registry for Oxyclean Ambulatory Opiate Detox Centers LLC is (513) 897-7162.
- Who is the authorized official for Oxyclean Ambulatory Opiate Detox Centers LLC?
- The authorized official listed on Oxyclean Ambulatory Opiate Detox Centers LLC's NPPES record is Charles Russell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oxyclean Ambulatory Opiate Detox Centers LLC's NPI active?
- Yes — Oxyclean Ambulatory Opiate Detox Centers LLC's NPI (1033624812) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.