HANNIBAL COUNCIL ON ALCOHOL AND DRUG ABUSE
NPI 1740636067
Clinic/Center - Rehabilitation, Substance Use Disorder in Hannibal, MO

NPI Status: Active since May 05, 2016

Contact Information

146 COMMUNICATION DR
HANNIBAL, MO
ZIP 63401
Phone: (573) 248-1196
Fax: (573) 248-1259

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 26D1071857
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-01-2027

About HANNIBAL COUNCIL ON ALCOHOL AND DRUG ABUSE

This page provides the complete NPI Profile along with additional information for Hannibal Council On Alcohol And Drug Abuse, a provider established in Hannibal, Missouri operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1740636067 assigned on May 2016. The practitioner's primary taxonomy code is 261QR0405X with license number 1517 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Jennifer Wilson (Executive Director)

NPI
1740636067
Provider Name
HANNIBAL COUNCIL ON ALCOHOL AND DRUG ABUSE
Entity Type
Organization
Location Address
146 COMMUNICATION DR HANNIBAL, MO 63401
Location Phone
(573) 248-1196
Location Fax
(573) 248-1259
Mailing Address
146 COMMUNICATION DR HANNIBAL, MO 63401
Mailing Phone
(573) 248-1196
Mailing Fax
(573) 248-1259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2016
Last Update Date
05-05-2016
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
1517
License State
MO

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

MRS. JENNIFER WILSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(573) 248-1196

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
26D1071857
Facility Type
Physician Office
Certificate Effective Date
August 02, 2025
Certificate Expiration Date
August 01, 2027
Laboratory Director
RICHARD A. VALUCK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Hannibal Council On Alcohol And Drug Abuse in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1740636067, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1740636067.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
146 COMMUNICATION DR
HANNIBAL, MO 63401
Clinic/Center (Rehabilitation, Substance Use Disorder)
146 COMMUNICATION DR
HANNIBAL, MO 63401
Social Worker (Clinical)
146 COMMUNICATION DR
HANNIBAL, MO 63401
Counselor (Professional)
146 COMMUNICATION DR
HANNIBAL, MO 63401
Substance Abuse Rehabilitation Facility
146 COMMUNICATION DR
HANNIBAL, MO 63401
Clinic/Center (Rehabilitation, Substance Use Disorder)
146 COMMUNICATION DR
HANNIBAL, MO 63401
Social Worker (Clinical)
146 COMMUNICATION DR
HANNIBAL, MO 63401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740636067, enumerated as an "organization" on May 05, 2016.

The provider is located at 146 COMMUNICATION DR HANNIBAL, MO 63401 and the phone number is (573) 248-1196.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.