COUNCIL BLUFFS COMPREHENSIVE TREATMENT CENTER
NPI 1326689076
Clinic/Center - Methadone in Council Bluffs, IA
NPI Status: Active since October 03, 2019
Contact Information
1750 W BROADWAY
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (855) 743-2289
- Organization
- Clinic/Center
- Methadone
- Accepts Insurance
- CLIA Number: 16D2174804
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 11-07-2025
About COUNCIL BLUFFS COMPREHENSIVE TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Council Bluffs Comprehensive Treatment Center, a provider established in Council Bluffs, Iowa operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1326689076 assigned on October 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Council Bluffs Comprehensive Treatment Center. The authorized official of this NPI record is Brian Phillip Farley (Vp & Secretary)
- NPI
- 1326689076
- Provider Legal Name
- CRC RECOVERY, INC.
- Other Organization Name
- COUNCIL BLUFFS COMPREHENSIVE TREATMENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1750 W BROADWAY COUNCIL BLUFFS, IA 51501
- Location Phone
- (855) 743-2289
- Mailing Address
- 6183 PASEO DEL NORTE, STE 200 CARLSBAD, CA 92011
- Mailing Phone
- (855) 259-2288
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-03-2019
- Last Update Date
- 10-24-2024
- 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
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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 Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Standard | UnityPoint Health - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Primary Care | UnityPoint Health - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Primary Care | UnityPoint Health - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 16D2174804
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- November 08, 2023
- Certificate Expiration Date
- November 07, 2025
- Laboratory Director
- GLENN HURST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Council Bluffs Comprehensive Treatment Center 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 COUNCIL BLUFFS COMPREHENSIVE TREATMENT CENTER
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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. | |||||||||
| 1 | 3 | 2 | 6 | 6 | 8 | 9 | 0 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 12 | 8 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 1 + 2 + 8 + 1 + 8 + 0 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1326689076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750902052 | AKOSSIWA ESSI YOVOGAN Individual | Nurse Practitioner (Family) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1063037620 | MS. LYNNE MARIE CARROLL RN, BSN, MSN Individual | Registered Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1043891914 | MISS JESSE NICOLE ZUERN LPN Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1346996758 | MRS. DEBRA JEAN ADKINS Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1356083117 | LETICIA MARIE HUBER TCADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 435-2791 |
| 1124735915 | JAMIE RENEA PUGH LPN Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1275237455 | LEAH NOEL MARTINEZ Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1588364509 | JOY STARR TCADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1609575323 | AUSHNEE RHODES PLADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1861168296 | KELLY UPSON DNP Individual | Nurse Practitioner | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1104608884 | ALYCE E ROEN Individual | Behavior Technician | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1861143000 | JAMIE HEATHER MILLS Individual | Counselor | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1356187108 | DESTYNI BYERS CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1548008014 | LATASHA NAOMI JAMES LPN Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1215769989 | ARIANNA THACKER LPN Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 325-1990 |
| 1558194142 | JAIME MARIE SCOTT Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1124846167 | DIAMOND PEVERILL Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 435-2709 |
| 1598563900 | TIFFANY RAE KINSLEY Individual | Licensed Practical Nurse | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 215-6588 |
| 1710783626 | ZACHARY DYLAN BROWN TCADC Individual | Counselor (Addiction (Substance Use Disorder)) | 1750 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 435-2709 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326689076, enumerated in the NPI registry as an "organization" on October 03, 2019
The provider is located at 1750 W Broadway Council Bluffs, Ia 51501 and the phone number is (855) 743-2289
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D2174804 for a "comp. outpatient rehab 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 October 03, 2019. 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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