PRAIRIE RIDGE INTEGRATED HEALTH CARE
NPI 1043753056
Substance Abuse Rehabilitation Facility in Mason City, IA

NPI Status: Active since November 22, 2016

Contact Information

320 N EISENHOWER AVE
MASON CITY, IA
ZIP 50401
Phone: (641) 424-2391

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility
CLIA Number: 16D2214553
CLIA Cert. Type: Community Clinic
CLIA Exp. Date: 02-22-2027

About PRAIRIE RIDGE INTEGRATED HEALTH CARE

This page provides the complete NPI Profile along with additional information for Prairie Ridge Integrated Health Care, a provider established in Mason City, Iowa operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1043753056 assigned on November 2016. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Addiction Services. The authorized official of this NPI record is Jeremy Baker Tcadc (Clinician)

NPI: 1043753056
Provider Legal Name: PRAIRIE RIDGE INTEGRATED HEALTH CARE
Other Organization Name: ADDICTION SERVICES
Other Name Type: Former Legal Business Name (4)
Entity Type: Organization
Location Address: 320 N EISENHOWER AVE MASON CITY, IA 50401
Location Phone: (641) 424-2391
Mailing Address: 320 N EISENHOWER AVE MASON CITY, IA 50401
Mailing Phone: (641) 424-2391
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-22-2016
Last Update Date: 11-22-2016
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
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.

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: JEREMY BAKER TCADC
Authorized Official Title: CLINICIAN
Authorized Official Phone: (641) 530-8055

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 16D2214553
Facility Type: Community Clinic
Certificate Effective Date: February 23, 2025
Certificate Expiration Date: February 22, 2027
Laboratory Director: LORRIE M. YOUNG
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Prairie Ridge Integrated Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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 1043753056, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

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 4 → 8 7 → 14 → 5 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 4 + 5 + 6 + 0 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6

This NPI is valid

The calculated check digit is 6, which matches the last digit of 1043753056.