JACY1 DBA ANCHORAGE
NPI 1508044975
Substance Abuse Rehabilitation Facility in Moorhead, MN

NPI Status: Active since February 07, 2008

Contact Information

810 4TH ST S
SUITE 152
MOORHEAD, MN
ZIP 56560
Phone: (218) 287-1500
Fax: (218) 287-1267

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  • Organization
  • Substance Abuse Rehabilitation Facility

About JACY1 DBA ANCHORAGE

This page provides the complete NPI Profile along with additional information for Jacy1 Dba Anchorage, a provider established in Moorhead, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1508044975 assigned on February 2008. The practitioner's primary taxonomy code is 324500000X with license number 1044799 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Laurie Joanne Ray Lac (Program Director)

NPI
1508044975
Provider Name
JACY1 DBA ANCHORAGE
Entity Type
Organization
Location Address
810 4TH ST S SUITE 152 MOORHEAD, MN 56560
Location Phone
(218) 287-1500
Location Fax
(218) 287-1267
Mailing Address
810 4TH ST S SUITE 152 MOORHEAD, MN 56560
Mailing Phone
(218) 287-1500
Mailing Fax
(218) 287-1267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2008
Last Update Date
02-07-2008
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
1044799
License State
MN
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

LAURIE JOANNE RAY LAC

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(218) 287-1500

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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 1508044975, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 0 → 0 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 0 + 4 + 8 + 9 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1508044975.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508044975, enumerated as an "organization" on February 07, 2008.

The provider is located at 810 4TH ST S SUITE 152 MOORHEAD, MN 56560 and the phone number is (218) 287-1500.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.