MEDMARK TREATMENT CENTERS WOOD RIVER
NPI 1841858404
Clinic/Center - Rehabilitation, Substance Use Disorder in Wood River, IL
NPI Status: Active since May 30, 2019
Contact Information
304 WESLEY DR STE 302306
WOOD RIVER, IL
ZIP 62095
Phone: (618) 258-7592
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About MEDMARK TREATMENT CENTERS WOOD RIVER
This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Wood River, a provider established in Wood River, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1841858404 assigned on May 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Medmark Treatment Centers Wood River. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1841858404
- Provider Legal Name
- SOUTHERN ILLINOIS TREATMENT CENTER, LLC
- Other Organization Name
- MEDMARK TREATMENT CENTERS WOOD RIVER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 304 WESLEY DR STE 302306 WOOD RIVER, IL 62095
- Location Phone
- (618) 258-7592
- Mailing Address
- 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2019
- Last Update Date
- 07-29-2024
- 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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1841858404, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841858404, enumerated as an "organization" on May 30, 2019.
The provider is located at 304 WESLEY DR STE 302306 WOOD RIVER, IL 62095 and the phone number is (618) 258-7592.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
