SERENITY PATH BROOTEN
NPI 1174926844
Clinic/Center - Rehabilitation, Substance Use Disorder in Brooten, MN

NPI Status: Active since October 08, 2014

Contact Information

145 CENTRAL AVE S
BOX 324
BROOTEN, MN
ZIP 56316
Phone: (320) 243-3379

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About SERENITY PATH BROOTEN

This page provides the complete NPI Profile along with additional information for Serenity Path Brooten, a provider established in Brooten, Minnesota operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1174926844 assigned on October 2014. The practitioner's primary taxonomy code is 261QR0405X with license number 1074051-1-CDT (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Serenity Path Brooten. The authorized official of this NPI record is William Madigan M.s., Ladc (Executive Director)

NPI
1174926844
Provider Legal Name
SERENITY PATH INC.
Other Organization Name
SERENITY PATH BROOTEN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
145 CENTRAL AVE S BOX 324 BROOTEN, MN 56316
Location Phone
(320) 243-3379
Mailing Address
117 W JAMES ST BOX 3 PAYNESVILLE, MN 56362
Mailing Phone
(320) 243-3379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2014
Last Update Date
10-08-2014
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
1074051-1-CDT
License State
MN

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

WILLIAM MADIGAN M.S., LADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(320) 243-3379

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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.
1174926844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441821288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 2 + 1 + 2 + 8 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1174926844 is valid because the calculated check digit 4 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 1174926844, enumerated in the NPI registry as an "organization" on October 08, 2014

The provider is located at 145 Central Ave S Box 324 Brooten, Mn 56316 and the phone number is (320) 243-3379

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on October 08, 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].
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