BOISE KETAMINE CLINIC
NPI 1518547140
Clinic/Center - Infusion Therapy in Boise, ID
NPI Status: Active since April 08, 2021
Contact Information
2800 W OVERLAND RD
BOISE, ID
ZIP 83705
Phone: (208) 801-1414
Fax: (208) 207-2866
- Organization
- Clinic/Center
- Infusion Therapy
About BOISE KETAMINE CLINIC
This page provides the complete NPI Profile along with additional information for Boise Ketamine Clinic, a provider established in Boise, Idaho operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1518547140 assigned on April 2021. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Nykol Bailey Crna (Owner)
- NPI
- 1518547140
- Provider Name
- BOISE KETAMINE CLINIC
- Entity Type
- Organization
- Location Address
- 2800 W OVERLAND RD BOISE, ID 83705
- Location Phone
- (208) 801-1414
- Location Fax
- (208) 207-2866
- Mailing Address
- 2800 W OVERLAND RD BOISE, ID 83705
- Mailing Phone
- (208) 801-1414
- Mailing Fax
- (208) 207-2866
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2021
- Last Update Date
- 04-08-2021
- 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 Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
Reviews for BOISE KETAMINE CLINIC
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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 | 5 | 1 | 8 | 5 | 4 | 7 | 1 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 10 | 4 | 14 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 0 + 4 + 1 + 4 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1518547140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902542343 | HEALING HOUSE PLLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2800 W OVERLAND RD BOISE, ID 83705 (208) 801-1414 |
| 1881434595 | CHRISTA MARIE WHALEN FNP-BC Individual | Nurse Practitioner (Family) | 2800 W OVERLAND RD BOISE, ID 83705 (208) 810-8615 |
| 1609947431 | MARY K DERLACKI FNP Individual | Internal Medicine (Rheumatology) | 2800 W OVERLAND RD BOISE, ID 83705 (208) 801-1414 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518547140, enumerated in the NPI registry as an "organization" on April 08, 2021
The provider is located at 2800 W Overland Rd Boise, Id 83705 and the phone number is (208) 801-1414
This medical organization specializes in Clinic/Center with taxonomy code 261QI0500X with a focus in Infusion Therapy
This NPI record was last updated on April 08, 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].
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