MOUNTAIN BROOK OUTPATIENT
NPI 1134594286
Clinic/Center - Rehabilitation, Substance Use Disorder in Spanish Fork, UT

NPI Status: Active since December 01, 2015

Contact Information

14048 S. HIGHWAY 89
SPANISH FORK, UT
ZIP 84660
Phone: (801) 873-3199
Fax: (801) 873-3507

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About MOUNTAIN BROOK OUTPATIENT

Mountain Brook Outpatient is a provider established in Spanish Fork, Utah operating as a Clinic/center with a focus in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1134594286 assigned on December 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Brook Johnson (Executive Director)

NPI
1134594286
Provider Name
MOUNTAIN BROOK OUTPATIENT
Entity Type
Organization
Location Address
14048 S. HIGHWAY 89 SPANISH FORK, UT 84660
Location Phone
(801) 873-3199
Location Fax
(801) 873-3507
Mailing Address
PO BOX 361 SPANISH FORK, UT 84660
Mailing Phone
(801) 873-3199
Mailing Fax
(801) 873-3507
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
12-01-2015
Last Update Date
12-01-2015
Code Navigator

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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

BROOK JOHNSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(801) 228-8470

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134594286
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641098216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 9 + 8 + 2 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1134594286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134594286, enumerated in the NPI registry as an "organization" on December 01, 2015

The provider is located at 14048 S. Highway 89 Spanish Fork, Ut 84660 and the phone number is (801) 873-3199

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on December 01, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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