NEW HAMPSHIRE DETOX
NPI 1073106274
Substance Abuse Rehabilitation Facility in Bethlehem, NH
NPI Status: Active since February 18, 2021
Contact Information
2957 MAIN STREET
BETHLEHEM, NH
ZIP 03574
Phone: (410) 807-8471
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 30D2219632
- CLIA Cert. Type: Other - SUD TREATMENT FACILITY
- CLIA Exp. Date: 05-13-2026
About NEW HAMPSHIRE DETOX
This page provides the complete NPI Profile along with additional information for New Hampshire Detox, a provider established in Bethlehem, New Hampshire operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073106274 assigned on February 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as New Hampshire Detox. The authorized official of this NPI record is Kim Brown (Director Of Compliance)
- NPI
- 1073106274
- Provider Legal Name
- BONFIRE BEHAVIORAL HEALTH LLC
- Other Organization Name
- NEW HAMPSHIRE DETOX
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2957 MAIN STREET BETHLEHEM, NH 03574
- Location Phone
- (410) 807-8471
- Mailing Address
- 10461 MILL RUN CIR STE 810 OWINGS MILLS, MD 21117
- Mailing Phone
- (410) 807-8471
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-18-2021
- Last Update Date
- 01-12-2024
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
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.
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 |
|---|---|---|---|
| 3127887 | MEDICAID (05) | NH |
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
- 30D2219632
- Facility Type
- Other - SUD TREATMENT FACILITY
- Certificate Effective Date
- May 14, 2024
- Certificate Expiration Date
- May 13, 2026
- Laboratory Director
- CLAYTON LINDBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to New Hampshire Detox 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 NEW HAMPSHIRE DETOX
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 0 | 7 | 3 | 1 | 0 | 6 | 2 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 2 | 0 | 12 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 2 + 0 + 1 + 2 + 2 + 1 + 4 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1073106274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174949283 | TRI-COUNTY COMMUNITY ACTION INC Organization | Substance Abuse Rehabilitation Facility | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 869-2210 |
| 1871919837 | MELONY LYONS Individual | Counselor (Addiction (Substance Use Disorder)) | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 869-2210 |
| 1598181612 | GLORIA GENNA Individual | Social Worker | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 869-2210 |
| 1245656230 | MRS. MARTHA TURCOTTE Individual | Social Worker | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 869-2210 |
| 1053737056 | JANET DUSSAULT Individual | Counselor (Addiction (Substance Use Disorder)) | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 869-2210 |
| 1629502620 | CAROL HOUGHTON Individual | Counselor (Addiction (Substance Use Disorder)) | 2957 MAIN STREET BETHLEHEM, NH 03574 (603) 617-4815 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073106274, enumerated in the NPI registry as an "organization" on February 18, 2021
The provider is located at 2957 Main Street Bethlehem, Nh 03574 and the phone number is (410) 807-8471
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Ambetter from NH Healthy Families, Harvard Pilgrim. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 30D2219632 for a "other - sud treatment facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on February 18, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.