CLAY CROSSING FOUNDATION
NPI 1114332442
Substance Abuse Rehabilitation Facility in Maud, OK

NPI Status: Active since June 25, 2014

Contact Information

32018 HIGHWAY 59
MAUD, OK
ZIP 74854
Phone: (866) 374-1220

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  • Organization
  • Substance Abuse Rehabilitation Facility

About CLAY CROSSING FOUNDATION

This page provides the complete NPI Profile along with additional information for Clay Crossing Foundation, a provider established in Maud, Oklahoma operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1114332442 assigned on June 2014. The practitioner's primary taxonomy code is 324500000X with license number 10000000 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Bret Leiker Cradc, Lac (Executive Director)

NPI
1114332442
Provider Name
CLAY CROSSING FOUNDATION
Entity Type
Organization
Location Address
32018 HIGHWAY 59 MAUD, OK 74854
Location Phone
(866) 374-1220
Mailing Address
PO BOX 8 MAUD, OK 74854
Mailing Phone
(186) 637-4120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2014
Last Update Date
06-25-2014
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
10000000
License State
OK
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.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

956 (OK)

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.

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

BRET LEIKER CRADC, LAC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(866) 374-1220

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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.
1114332442
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212463448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 6 + 3 + 4 + 4 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114332442 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841953759 LOUIS JAMES FAZIO
Individual
Peer Specialist32018 HIGHWAY 59
MAUD, OK 74854
(405) 374-1225
1578810222MRS. KARA LAYNE KEESEE MS, LPC
Individual
Counselor (Professional)32018 HIGHWAY 59
MAUD, OK 74854
(405) 374-1225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114332442, enumerated in the NPI registry as an "organization" on June 25, 2014

The provider is located at 32018 Highway 59 Maud, Ok 74854 and the phone number is (866) 374-1220

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on June 25, 2014. 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.