SUBSTANCE ABUSE OUTPATIENT
NPI 1649404708
Substance Abuse Rehabilitation Facility in Mt Vernon, IL
NPI Status: Active since May 05, 2009
Contact Information
16338 N IL HWY 37
MT VERNON, IL
ZIP 62864
Phone: (618) 242-1994
Fax: (618) 242-6392
- Organization
- Substance Abuse Rehabilitation Facility
About SUBSTANCE ABUSE OUTPATIENT
This page provides the complete NPI Profile along with additional information for Substance Abuse Outpatient, a provider established in Mt Vernon, Illinois operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1649404708 assigned on May 2009. The practitioner's primary taxonomy code is 324500000X with license number 002250003 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Substance Abuse Outpatient. The authorized official of this NPI record is Mr. Daniel P Boehmer Ma, Lcpc, Qmhp (Executive Director)
- NPI
- 1649404708
- Provider Legal Name
- JEFFERSON COUNTY COMPREHENSIVE
- Other Organization Name
- SUBSTANCE ABUSE OUTPATIENT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 16338 N IL HWY 37 MT VERNON, IL 62864
- Location Phone
- (618) 242-1994
- Location Fax
- (618) 242-6392
- Mailing Address
- PO BOX 428 MOUNT VERNON, IL 62864
- Mailing Phone
- (618) 242-1994
- Mailing Fax
- (618) 242-6392
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2009
- Last Update Date
- 08-17-2018
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 002250003
- License State
- IL
- 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.
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 | 251S00000X | Agencies | Community/Behavioral Health | 002250003 (IL) |
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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 1649404708, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MOUNT VERNON, IL 62864
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649404708, enumerated as an "organization" on May 05, 2009.
The provider is located at 16338 N IL HWY 37 MT VERNON, IL 62864 and the phone number is (618) 242-1994.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
