SIOUX CITY COMPREHENSIVE TREATMENT CENTER
NPI 1184475006
Clinic/Center - Methadone in Sioux City, IA
NPI Status: Active since March 28, 2024
Contact Information
303 W 24TH ST
SIOUX CITY, IA
ZIP 51104
Phone: (760) 710-0968
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 16D1077879
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About SIOUX CITY COMPREHENSIVE TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Sioux City Comprehensive Treatment Center, a provider established in Sioux City, Iowa operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1184475006 assigned on March 2024. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sioux City Comprehensive Treatment Center. The authorized official of this NPI record is Brian Phillip Farley (Vp & Secretary)
- NPI
- 1184475006
- Provider Legal Name
- CRC RECOVERY, INC.
- Other Organization Name
- SIOUX CITY COMPREHENSIVE TREATMENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 303 W 24TH ST SIOUX CITY, IA 51104
- Location Phone
- (760) 710-0968
- Mailing Address
- 6183 PASEO DEL NORTE STE 200 CARLSBAD, CA 92011
- Mailing Phone
- (760) 710-0968
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-28-2024
- Last Update Date
- 10-24-2024
- 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 Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 16D1077879
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 20, 2007
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- JERRY SAN DIEGO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sioux City Comprehensive Treatment Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1184475006, 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.
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184475006, enumerated as an "organization" on March 28, 2024.
The provider is located at 303 W 24TH ST SIOUX CITY, IA 51104 and the phone number is (760) 710-0968.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
