MCINTOSH TRAIL COMMUNITY SERVICE BOARD
NPI 1073782447
Community/Behavioral Health in Mcdonough, GA

NPI Status: Active since February 29, 2008

Contact Information

403 SADDLECREEK DRIVE
MCDONOUGH, GA
ZIP 30253
Phone: (770) 229-3125

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  • Organization
  • Community/Behavioral Health

About MCINTOSH TRAIL COMMUNITY SERVICE BOARD

This page provides the complete NPI Profile along with additional information for Mcintosh Trail Community Service Board, a provider established in Mcdonough, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1073782447 assigned on February 2008. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Pamela Mccollum (Executive Director)

NPI
1073782447
Provider Name
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
Entity Type
Organization
Location Address
403 SADDLECREEK DRIVE MCDONOUGH, GA 30253
Location Phone
(770) 229-3125
Mailing Address
1501A KALAMAZOO DR GRIFFIN, GA 30224
Mailing Phone
(770) 358-8250
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-29-2008
Last Update Date
02-29-2008
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

PAMELA MCCOLLUM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(770) 358-8251

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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.
1073782447
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143148448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 8 + 4 + 4 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1073782447 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073782447, enumerated in the NPI registry as an "organization" on February 29, 2008

The provider is located at 403 Saddlecreek Drive Mcdonough, Ga 30253 and the phone number is (770) 229-3125

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on February 29, 2008. 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].
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