IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY
NPI 1376670091
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bonners Ferry, ID

NPI Status: Active since February 28, 2007

Contact Information

RT 4 6522 TAMARACK LN
BONNERS FERRY, ID
ZIP 83805
Phone: (208) 267-3187
Fax: (208) 267-3251

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY

This page provides the complete NPI Profile along with additional information for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry, a provider established in Bonners Ferry, Idaho operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1376670091 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0801X. 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 Cora Jo Gussenhoven (Program Manager)

NPI
1376670091
Provider Name
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY
Entity Type
Organization
Location Address
RT 4 6522 TAMARACK LN BONNERS FERRY, ID 83805
Location Phone
(208) 267-3187
Location Fax
(208) 267-3251
Mailing Address
RT 4 6522 TAMARACK LN BONNERS FERRY, ID 83805
Mailing Phone
(208) 267-3187
Mailing Fax
(208) 267-3251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2007
Last Update Date
08-22-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

CORA JO GUSSENHOVEN

Authorized Official Title
PROGRAM MANAGER
Authorized Official Phone
(208) 769-1406

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HW256OTHER (01)BLUE CROSS OF IDAHO
000010018348OTHER (01)BLUE SHIELD
8073521MEDICAID (05)ID 

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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 1376670091, 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 6 → 12 → 3 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 2 + 7 + 0 + 0 + 1 + 8 + 24 = 59

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.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1376670091.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376670091, enumerated as an "organization" on February 28, 2007.

The provider is located at RT 4 6522 TAMARACK LN BONNERS FERRY, ID 83805 and the phone number is (208) 267-3187.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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