ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
NPI 1588032460
Clinic/Center - Rehabilitation, Substance Use Disorder in Macomb, IL
NPI Status: Active since September 09, 2015
Contact Information
900 S DEER RD
MACOMB, IL
ZIP 61455
Phone: (309) 837-4876
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
This page provides the complete NPI Profile along with additional information for Illinois Medicaid-substance Abuse Macomb, a provider established in Macomb, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1588032460 assigned on September 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Illinois Medicaid-substance Abuse Macomb operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Bill A Nelson Lcpc (Ceo)
- NPI
- 1588032460
- Provider Name
- ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB
- Entity Type
- Organization
- Location Address
- 900 S DEER RD MACOMB, IL 61455
- Location Phone
- (309) 837-4876
- Mailing Address
- 900 S DEER RD MACOMB, IL 61455
- Mailing Phone
- (309) 837-4876
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-09-2015
- Last Update Date
- 08-19-2019
- Code Navigator
Location Map
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
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | A-0118-0010-A (IL) |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (IL) |
| 3 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (IL) |
| 4 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 1588032460, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MACOMB, IL 61455
MACOMB, IL 61455
MACOMB, IL 61455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588032460, enumerated as an "organization" on September 09, 2015.
The provider is located at 900 S DEER RD MACOMB, IL 61455 and the phone number is (309) 837-4876.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
