GRIZZLY SPINE PAIN AND REHAB, PC
NPI 1104097351
Clinic/Center - Pain in Kalispell, MT

NPI Status: Active since March 17, 2008

Contact Information

3 MERIDIAN CT
SUITE 2
KALISPELL, MT
ZIP 59901
Phone: (406) 755-4488
Fax: (406) 755-4481

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  • Organization
  • Clinic/Center
  • Pain
  • Accepts Insurance
  • CLIA Number: 27D1094510
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 01-20-2027

About GRIZZLY SPINE PAIN AND REHAB, PC

This page provides the complete NPI Profile along with additional information for Grizzly Spine Pain And Rehab, Pc, a provider established in Kalispell, Montana operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1104097351 assigned on March 2008. The practitioner's primary taxonomy code is 261QP3300X with license number 10947 (MT). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Scott Richard Jahnke Do (Doctor - Owner)

NPI
1104097351
Provider Name
GRIZZLY SPINE PAIN AND REHAB, PC
Entity Type
Organization
Location Address
3 MERIDIAN CT SUITE 2 KALISPELL, MT 59901
Location Phone
(406) 755-4488
Location Fax
(406) 755-4481
Mailing Address
3 MERIDIAN CT SUITE 2 KALISPELL, MT 59901
Mailing Phone
(406) 755-4488
Mailing Fax
(406) 755-4481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2008
Last Update Date
04-06-2020
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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

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
10947
License State
MT

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)
1261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*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

SCOTT RICHARD JAHNKE DO

Authorized Official Title
DOCTOR - OWNER
Authorized Official Phone
(406) 755-4488

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
27D1094510
Facility Type
Mobile Laboratory
Certificate Effective Date
January 21, 2025
Certificate Expiration Date
January 20, 2027
Laboratory Director
SCOTT R. JAHNKE, DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grizzly Spine Pain And Rehab, Pc 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.

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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 1104097351, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 0 → 0 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 9 + 1 + 4 + 3 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104097351.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104097351, enumerated as an "organization" on March 17, 2008.

The provider is located at 3 MERIDIAN CT SUITE 2 KALISPELL, MT 59901 and the phone number is (406) 755-4488.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.

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