PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM
NPI 1245818186
Clinic/Center - Rehabilitation, Substance Use Disorder in Cody, WY

NPI Status: Active since March 31, 2021

Contact Information

1501 STAMPEDE AVE STE 2058
CODY, WY
ZIP 82414
Phone: (307) 527-1800
Fax: (307) 527-1806

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 53D2025084
  • CLIA Cert. Type: Other - JAIL
  • CLIA Exp. Date: 05-31-2027

About PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM

This page provides the complete NPI Profile along with additional information for Park County Court Supervised Treatment Program, a provider established in Cody, Wyoming operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1245818186 assigned on March 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shannon Votaw Mja (Director)

NPI
1245818186
Provider Name
PARK COUNTY COURT SUPERVISED TREATMENT PROGRAM
Entity Type
Organization
Location Address
1501 STAMPEDE AVE STE 2058 CODY, WY 82414
Location Phone
(307) 527-1800
Location Fax
(307) 527-1806
Mailing Address
PO BOX 906 CODY, WY 82414
Mailing Phone
(307) 527-1800
Mailing Fax
(307) 527-1806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2021
Last Update Date
03-31-2021
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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 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

SHANNON VOTAW MJA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(307) 527-1801

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
53D2025084
Facility Type
Other - JAIL
Certificate Effective Date
June 01, 2025
Certificate Expiration Date
May 31, 2027
Laboratory Director
VALERIE SCHAUER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park County Court Supervised Treatment Program 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 1245818186, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 8 → 16 → 7 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 6 + 1 + 1 + 6 + 1 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245818186.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1501 STAMPEDE AVE STE 2058
CODY, WY 82414
Social Worker (Clinical)
1501 STAMPEDE AVE STE 2058
CODY, WY 82414
Social Worker (Clinical)
1501 STAMPEDE AVE STE 2058
CODY, WY 82414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245818186, enumerated as an "organization" on March 31, 2021.

The provider is located at 1501 STAMPEDE AVE STE 2058 CODY, WY 82414 and the phone number is (307) 527-1800.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.