KLAMATH YOUTH REGIONAL TREATMENT CENTER
NPI 1578864641
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Klamath Falls, OR

NPI Status: Active since November 05, 2010

Contact Information

121 IOWA ST.
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 882-1487
Fax: (541) 882-1670

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • CLIA Number: 38D0968045
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 11-30-2027

About KLAMATH YOUTH REGIONAL TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Klamath Youth Regional Treatment Center, a provider established in Klamath Falls, Oregon operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1578864641 assigned on November 2010. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Klamath Youth Regional Treatment Center. The authorized official of this NPI record is Leroy Jackson Jr. (Health General Manager)

NPI
1578864641
Provider Legal Name
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Other Organization Name
KLAMATH YOUTH REGIONAL TREATMENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
121 IOWA ST. KLAMATH FALLS, OR 97601
Location Phone
(541) 882-1487
Location Fax
(541) 882-1670
Mailing Address
3949 SOUTH 6TH ST. KLAMATH FALLS, OR 97603
Mailing Phone
(541) 882-1487
Mailing Fax
(541) 882-1670
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2010
Last Update Date
11-05-2010
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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 Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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

LEROY JACKSON JR.

Authorized Official Title
HEALTH GENERAL MANAGER
Authorized Official Phone
(541) 882-1487

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
38D0968045
Facility Type
Other
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
DR. BENJAMIN R. STUART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Klamath Youth Regional Treatment Center 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 1578864641, 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 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 8 → 16 → 7 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 6 + 6 + 8 + 6 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1578864641.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578864641, enumerated as an "organization" on November 05, 2010.

The provider is located at 121 IOWA ST. KLAMATH FALLS, OR 97601 and the phone number is (541) 882-1487.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.