CLUB NOVA COMMUNITY, INC
NPI 1639232044
Clinic/Center - Adult Mental Health in Carrboro, NC

NPI Status: Active since December 18, 2006

Contact Information

103 W MAIN ST
SUITE D
CARRBORO, NC
ZIP 27510
Phone: (919) 968-6682
Fax: (919) 968-1764

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About CLUB NOVA COMMUNITY, INC

This page provides the complete NPI Profile along with additional information for Club Nova Community, Inc, a provider established in Carrboro, North Carolina operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1639232044 assigned on December 2006. The practitioner's primary taxonomy code is 261QM0850X with license number MHL068017 (NC). 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 Jacob Long (Associate Director Of Administratio)

NPI
1639232044
Provider Name
CLUB NOVA COMMUNITY, INC
Entity Type
Organization
Location Address
103 W MAIN ST SUITE D CARRBORO, NC 27510
Location Phone
(919) 968-6682
Location Fax
(919) 968-1764
Mailing Address
103 W MAIN ST SUITE D CARRBORO, NC 27510
Mailing Phone
(919) 968-6682
Mailing Fax
(919) 968-1764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2006
Last Update Date
09-14-2007
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
MHL068017
License State
NC
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JACOB LONG

Authorized Official Title
ASSOCIATE DIRECTOR OF ADMINISTRATIO
Authorized Official Phone
(919) 968-6682

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8301156SMEDICAID (05)NC 

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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.
1639232044
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266943408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 3 + 4 + 0 + 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 1639232044 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 1639232044, enumerated in the NPI registry as an "organization" on December 18, 2006

The provider is located at 103 W Main St Suite D Carrboro, Nc 27510 and the phone number is (919) 968-6682

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 18, 2006. 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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