STATE HOSPITAL SOUTH
NPI 1992789101
Psychiatric Hospital in Blackfoot,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 1, 2005

Contact Information

700 E Alice St
Blackfoot,
Post Code: 83221
Phone: (208) 785-1200
Fax: (208) 785-8518

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State Hospital South in Blackfoot - Psychiatric Hospital

State Hospital South is a Psychiatric Hospital in Blackfoot, . State Hospital South practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Hospital South is 1992789101. The last update date is 2013-05-08.

State Hospital South's current location address is 700 E Alice St, Blackfoot, . You can contact this provider via phone number (208) 785-1200 and fax number (208) 785-8518. The mailing address for State Hospital South is 700 E Alice St, Blackfoot, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992789101
Provider Legal Name
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Other Organization Name
STATE HOSPITAL SOUTH
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
700 E Alice St, Blackfoot,
Location Phone
(208) 785-1200
Location Fax
(208) 785-8518
Mailing Address
700 East Alice, Blackfoot, Idaho(ID)
Mailing Phone
208-785-1200
Mailing Fax
208-785-8518
Enumeration Date
2005-12-01
Last Update Date
2013-05-08
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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
-
License No.
#17
License State
Idaho (ID)
Taxonomy Description
-

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
002821500 MEDICAID (05) Idaho (ID)
00844 Other (non-Medicare) (01) Idaho (ID) Blue Cross Of Idaho
20315 Other (non-Medicare) (01) Idaho (ID) Regence Blue Shield of Id

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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.
1992789101
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821481810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291821481810
2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 1 + 8 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1992789101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609879634 OPEN MRI OF BOISE, L.LC.
NYDIC OPEN MRI OF AMERICA-BOISE
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 100 PARAGON DR
MONTVALE, New Jersey (NJ)
201-573-8080
1770586794 ST LUKES REGIONAL MEDICAL CENTER
ST LUKES MERIDIAN MEDICAL CENTER
Organization
Rehabilitation Unit PO BOX 2777
BOISE, Idaho (ID)
208-706-5000
1700889987 COUNTY OF ADA
ADA COUNTY EMERGENCY MEDICAL SERVICES
Organization
Ambulance, Land Transport 370 N. BENJAMIN LANE
BOISE, Idaho (ID)
208-287-2950
1821091083 WALTER KNOX MEMORIAL HOSPITAL
VALOR HEALTH - EMMETT MEDICAL CENTER
Organization
Clinic/Center, Rural Health 1102 E LOCUST ST
EMMETT, Idaho (ID)
208-365-6004
1457354466 A RILEY CUTLER
Individual
Dentist 13108 W PERSIMMON LN
BOISE, Idaho (ID)
208-375-0524