BHG MEDICAL SERVICES - IDAHO
NPI 1770298465
Clinic/Center - Rehabilitation, Substance Use Disorder in Meridian, ID
NPI Status: Active since January 18, 2023
Contact Information
2275 SOUTH EAGLE ROAD, SUITE 190
OBOT ROOM #100
MERIDIAN, ID
ZIP 83642
Phone: (208) 288-0649
Fax: (208) 288-0651
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 13D2306077
- CLIA Cert. Type: Other - OFFICE BASED OPIOID TREAT
- CLIA Exp. Date: 06-10-2026
About BHG MEDICAL SERVICES - IDAHO
This page provides the complete NPI Profile along with additional information for Bhg Medical Services - Idaho, a provider established in Meridian, Idaho operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1770298465 assigned on January 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Bhg Medical Services - Idaho. The authorized official of this NPI record is Zack Ragsdale (Director)
- NPI
- 1770298465
- Provider Legal Name
- BHG LXXXVII, LLC
- Other Organization Name
- BHG MEDICAL SERVICES - IDAHO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2275 SOUTH EAGLE ROAD, SUITE 190 OBOT ROOM #100 MERIDIAN, ID 83642
- Location Phone
- (208) 288-0649
- Location Fax
- (208) 288-0651
- Mailing Address
- 5001 SPRING VALLEY ROAD SUITE 600 EAST DALLAS, TX 75244
- Mailing Phone
- (214) 365-6100
- Mailing Fax
- (208) 288-0651
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2023
- Last Update Date
- 09-23-2024
- 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
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 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 13D2306077
- Facility Type
- Other - OFFICE BASED OPIOID TREAT
- Certificate Effective Date
- June 11, 2024
- Certificate Expiration Date
- June 10, 2026
- Laboratory Director
- CARLY BAILEY-NEFF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bhg Medical Services - Idaho 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 2 | 9 | 8 | 4 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 9 | 16 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 9 + 1 + 6 + 4 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1770298465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770298465, enumerated as an "organization" on January 18, 2023.
The provider is located at 2275 SOUTH EAGLE ROAD, SUITE 190 OBOT ROOM #100 MERIDIAN, ID 83642 and the phone number is (208) 288-0649.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
