JEFFERSON BEHAVIORAL HEALTH
NPI 1750571345
Exclusive Provider Organization in Grants Pass, OR

NPI Status: Active since July 30, 2007

Contact Information

550 NE E ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 955-9565
Fax: (541) 955-8290

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About JEFFERSON BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Jefferson Behavioral Health, a provider established in Grants Pass, Oregon operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1750571345 assigned on July 2007. The practitioner's primary taxonomy code is 302F00000X with license number 119488 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Bob Nikkel (Executive Director)

NPI
1750571345
Provider Name
JEFFERSON BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
550 NE E ST GRANTS PASS, OR 97526
Location Phone
(541) 955-9565
Location Fax
(541) 955-8290
Mailing Address
550 NE E ST GRANTS PASS, OR 97526
Mailing Phone
(541) 955-9565
Mailing Fax
(541) 955-8290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2007
Last Update Date
08-11-2010
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
119488
License State
OR
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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

MR. BOB NIKKEL

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(541) 955-9565

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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.
1750571345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100107238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 2 + 3 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750571345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679115265 PATRICIA PEREZ MARTIN
Individual
Health Educator550 NE E ST
GRANTS PASS, OR 97526
(541) 955-5186

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750571345, enumerated in the NPI registry as an "organization" on July 30, 2007

The provider is located at 550 Ne E St Grants Pass, Or 97526 and the phone number is (541) 955-9565

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

This NPI record was last updated on July 30, 2007. 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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