LIFE INTEGRATIVE HEALTH CENTER
NPI 1063833721
Clinic/Center in Provo, UT
NPI Status: Active since December 26, 2013
Contact Information
777 N 500 W
SUITE 104
PROVO, UT
ZIP 84601
Phone: (801) 869-8199
Fax: (801) 705-0436
- Organization
- Clinic/Center
About LIFE INTEGRATIVE HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Life Integrative Health Center, a provider established in Provo, Utah operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063833721 assigned on December 2013. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is Theta Wellness Center - Provo. The authorized official of this NPI record is Mrs. Kendra Bernal Ma (Clinical Administrator)
- NPI
- 1063833721
- Provider Legal Name
- LIFE INTEGRATIVE HEALTH CENTER
- Other Organization Name
- THETA WELLNESS CENTER - PROVO
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 777 N 500 W SUITE 104 PROVO, UT 84601
- Location Phone
- (801) 869-8199
- Location Fax
- (801) 705-0436
- Mailing Address
- 777 N 500 W STE 104 PROVO, UT 84601
- Mailing Phone
- (801) 869-8199
- Mailing Fax
- (801) 705-0436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2013
- Last Update Date
- 04-09-2014
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | 0000000 (UT) |
| 2 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | NOT REQUIRED (UT) |
| 3 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 00000000000 (UT) |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | NOT REQUIRED (UT) |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | NOT REQUIRED (UT) |
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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 1063833721, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROVO, UT 84601
PROVO, UT 84601
PROVO, UT 84601
PROVO, UT 84601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063833721, enumerated as an "organization" on December 26, 2013.
The provider is located at 777 N 500 W SUITE 104 PROVO, UT 84601 and the phone number is (801) 869-8199.
Clinic/Center with taxonomy code 261Q00000X.
