THE MONTANA LODGE
NPI 1023385390
Substance Abuse Rehabilitation Facility in Prescott, AZ

NPI Status: Active since November 30, 2011

Contact Information

1630 SHOUP ST
PRESCOTT, AZ
ZIP 86305
Phone: (928) 227-2448
Fax: (928) 268-3433

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About THE MONTANA LODGE

This page provides the complete NPI Profile along with additional information for The Montana Lodge, a provider established in Prescott, Arizona operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1023385390 assigned on November 2011. The practitioner's primary taxonomy code is 324500000X with license number BH3965 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as The Montana Lodge. The authorized official of this NPI record is Dr. Kenneth Chance (Ceo/president)

NPI
1023385390
Provider Legal Name
MONTANA SOCIETY INCORPORATED
Other Organization Name
THE MONTANA LODGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1630 SHOUP ST PRESCOTT, AZ 86305
Location Phone
(928) 227-2448
Location Fax
(928) 268-3433
Mailing Address
PO BOX 10835 PRESCOTT, AZ 86304
Mailing Phone
(928) 515-3350
Mailing Fax
(928) 268-3433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2011
Last Update Date
07-27-2015
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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.
BH3965
License State
AZ
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:

  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue Portfolio Bronze HSA Neighborhood - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Bronze Neighborhood - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Gold Neighborhood - HMO
  • AZ Blue StandardHealth Silver Focus - HMO
  • AZ Blue StandardHealth Silver Neighborhood - HMO

*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

DR. KENNETH CHANCE

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(928) 288-2004

Reviews for THE MONTANA LODGE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023385390, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 8 + 1 + 0 + 3 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023385390.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1630 SHOUP ST
PRESCOTT, AZ 86305
Community/Behavioral Health
1630 SHOUP ST, STE B
PRESCOTT, AZ 86305
Community/Behavioral Health
1630 SHOUP ST, SUITE B
PRESCOTT, AZ 86305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023385390, enumerated as an "organization" on November 30, 2011.

The provider is located at 1630 SHOUP ST PRESCOTT, AZ 86305 and the phone number is (928) 227-2448.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.