419 MEDICAL SQUADRON
NPI 1689691230
Rehabilitation, Substance Use Disorder Unit in Hill Afb, UT

NPI Status: Active since July 17, 2006

Contact Information

7311 11TH ST
HILL AFB, UT
ZIP 84056
Phone: (801) 777-2622

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About 419 MEDICAL SQUADRON

This page provides the complete NPI Profile along with additional information for 419 Medical Squadron, a provider established in Hill Afb, Utah operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1689691230 assigned on July 2006. The practitioner's primary taxonomy code is 276400000X with license number 06477 (IA). 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 Mr. Robert Atisme Lisw, Csw (Mental Health Therapist)

NPI
1689691230
Provider Name
419 MEDICAL SQUADRON
Entity Type
Organization
Location Address
7311 11TH ST HILL AFB, UT 84056
Location Phone
(801) 777-2622
Mailing Address
3626 W 2000 N WEST POINT, UT 84015
Mailing Phone
(801) 776-8767
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2006
Last Update Date
06-13-2008
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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

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
License No.
06477
License State
IA
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

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

MR. ROBERT ATISME LISW, CSW

Authorized Official Title
MENTAL HEALTH THERAPIST
Authorized Official Phone
(801) 777-2622

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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 1689691230, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 8 → 16 → 7 6 → 12 → 3 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 2 + 2 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1689691230.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689691230, enumerated as an "organization" on July 17, 2006.

The provider is located at 7311 11TH ST HILL AFB, UT 84056 and the phone number is (801) 777-2622.

Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.