CONIFER PARK, INC.
NPI 1972558179
Clinic/Center - Rehabilitation, Substance Use Disorder in Glens Falls, NY

NPI Status: Active since May 24, 2006

Contact Information

55 ELM ST
GLENS FALLS, NY
ZIP 12801
Phone: (518) 793-7273
Fax: (518) 798-5004

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 33D2028443
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About CONIFER PARK, INC.

This page provides the complete NPI Profile along with additional information for Conifer Park, Inc., a provider established in Glens Falls, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1972558179 assigned on May 2006. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Tammy Smith (Dir, Op Billing Dept)

NPI
1972558179
Provider Name
CONIFER PARK, INC.
Entity Type
Organization
Location Address
55 ELM ST GLENS FALLS, NY 12801
Location Phone
(518) 793-7273
Location Fax
(518) 798-5004
Mailing Address
PO BOX 10092 ALBANY, NY 12201
Mailing Phone
(518) 952-8408
Mailing Fax
(518) 798-5004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
04-29-2021
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. TAMMY SMITH

Authorized Official Title
DIR, OP BILLING DEPT
Authorized Official Phone
(518) 952-8408

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01420800MEDICAID (05)NY 

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
33D2028443
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 17, 2011
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. GEORGE A. DISNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conifer Park, Inc. 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.

Reviews for CONIFER PARK, INC.

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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 1972558179, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 0 + 5 + 1 + 6 + 1 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1972558179.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Registered Nurse
55 ELM ST
GLENS FALLS, NY 12801
Registered Nurse (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Licensed Practical Nurse
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801
Registered Nurse
55 ELM ST
GLENS FALLS, NY 12801
Registered Nurse
55 ELM ST
GLENS FALLS, NY 12801
Counselor (Addiction (Substance Use Disorder))
55 ELM ST
GLENS FALLS, NY 12801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972558179, enumerated as an "organization" on May 24, 2006.

The provider is located at 55 ELM ST GLENS FALLS, NY 12801 and the phone number is (518) 793-7273.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.