NORTH COUNTRY MEDICAL, LLC
NPI 1790236578
Substance Abuse Rehabilitation Facility in Fairbanks, AK

NPI Status: Active since October 17, 2016

Contact Information

626 2ND ST
SUITE 201B
FAIRBANKS, AK
ZIP 99701
Phone: (907) 687-0722

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 02D2120631
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-19-2026

About NORTH COUNTRY MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for North Country Medical, Llc, a provider established in Fairbanks, Alaska operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1790236578 assigned on October 2016. The practitioner's primary taxonomy code is 324500000X with license number PADA185 (AK). 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 Paul Wood Finch Jr. P.a. (Organizer)

NPI
1790236578
Provider Name
NORTH COUNTRY MEDICAL, LLC
Entity Type
Organization
Location Address
626 2ND ST SUITE 201B FAIRBANKS, AK 99701
Location Phone
(907) 687-0722
Mailing Address
2500 ZION CT ANCHORAGE, AK 99507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2016
Last Update Date
10-17-2016
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
PADA185
License State
AK
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.

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

PAUL WOOD FINCH JR. P.A.

Authorized Official Title
ORGANIZER
Authorized Official Phone
(907) 687-0722

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
02D2120631
Facility Type
Physician Office
Certificate Effective Date
October 20, 2024
Certificate Expiration Date
October 19, 2026
Laboratory Director
MR. PAUL FINCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Country Medical, Llc 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 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 1790236578, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 9 → 18 → 9 2 → 4 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 4 + 3 + 1 + 2 + 5 + 1 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1790236578.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
626 2ND ST
FAIRBANKS, AK 99701
Counselor (Professional)
626 2ND ST, SUITE 101A
FAIRBANKS, AK 99701
Counselor (Professional)
626 2ND ST, SUITE 303
FAIRBANKS, AK 99701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790236578, enumerated as an "organization" on October 17, 2016.

The provider is located at 626 2ND ST SUITE 201B FAIRBANKS, AK 99701 and the phone number is (907) 687-0722.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.