MEADOWS OUTPATIENT CENTER DENVER LLC
NPI 1720747892
Clinic/Center - Adult Mental Health in Denver, CO

NPI Status: Active since December 15, 2021

Contact Information

4700 SOUTH SYRACUSE ST
SUITE 100
DENVER, CO
ZIP 80237
Phone: (928) 684-4039

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 06D2271426
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT
  • CLIA Exp. Date: 11-01-2026

About MEADOWS OUTPATIENT CENTER DENVER LLC

This page provides the complete NPI Profile along with additional information for Meadows Outpatient Center Denver Llc, a provider established in Denver, Colorado operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1720747892 assigned on December 2021. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tracy Livingston (Vp Of Revenue Cycle Management)

NPI
1720747892
Provider Name
MEADOWS OUTPATIENT CENTER DENVER LLC
Entity Type
Organization
Location Address
4700 SOUTH SYRACUSE ST SUITE 100 DENVER, CO 80237
Location Phone
(928) 684-4039
Mailing Address
19820 N 7TH ST STE 205 PHOENIX, AZ 85024
Mailing Phone
(928) 684-4083
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2021
Last Update Date
02-19-2024
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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
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.

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

TRACY LIVINGSTON

Authorized Official Title
VP OF REVENUE CYCLE MANAGEMENT
Authorized Official Phone
(602) 256-3020

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
06D2271426
Facility Type
Other - OUTPATIENT TREATMENT
Certificate Effective Date
November 02, 2024
Certificate Expiration Date
November 01, 2026
Laboratory Director
JEANETTE KINTZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Meadows Outpatient Center Denver Llc 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.

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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.
1720747892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274014414818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 4 + 4 + 1 + 4 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1720747892 is valid because the calculated check digit 2 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 1720747892, enumerated in the NPI registry as an "organization" on December 15, 2021

The provider is located at 4700 South Syracuse St Suite 100 Denver, Co 80237 and the phone number is (928) 684-4039

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

The provider's CLIA number is 06D2271426 for a "other - outpatient treatment" 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 December 15, 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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