MR. BRUCE WILLIAM BOEHM JR.
NPI 1437719937
Community Based Residential Treatment Facility, Mental Illness in Knoxville, IA

NPI Status: Active since June 17, 2019

Contact Information

205 N IOWA ST
KNOXVILLE, IA
ZIP 50138
Phone: (641) 842-4618

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  • Individual
  • Male
  • Community Based Residential Treatment Fa...

About BRUCE BOEHM

This page provides the complete NPI Profile along with additional information for Bruce Boehm, a provider established in Knoxville, Iowa with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1437719937 assigned on June 2019. The practitioner's primary taxonomy code is 320800000X with license number 630299 (IA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1437719937
Provider Name
MR. BRUCE WILLIAM BOEHM JR.
Gender
Male
Entity Type
Individual
Location Address
205 N IOWA ST KNOXVILLE, IA 50138
Location Phone
(641) 842-4618
Mailing Address
PO BOX 287 KNOXVILLE, IA 50138
Mailing Phone
(641) 842-4618
Is Sole Proprietor?
Yes
Enumeration Date
06-17-2019
Last Update Date
06-17-2019
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
630299
License State
IA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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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.
1437719937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24671411896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 4 + 1 + 1 + 8 + 9 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1437719937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

COMMUNITY CARE OF KNOXVILLE LLC

Community Based Residential Treatment Facility, Mental Illness

205 N IOWA ST
KNOXVILLE, IA
ZIP 50138

(641) 842-4618

KNOXVILLE RESIDENTIAL, LLC

Community Based Residential Treatment Facility, Mental Illness

205 N IOWA ST
KNOXVILLE, IA
ZIP 50138

(641) 842-4618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437719937, enumerated as an "individual" on June 17, 2019.

The provider is located at 205 N IOWA ST KNOXVILLE, IA 50138 and the phone number is (641) 842-4618.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.