MR. GEORGE WESLEY CLARK CRM
NPI 1750927075
Peer Specialist in Klamath Falls, OR
NPI Status: Active since November 21, 2019
Contact Information
3647 HIGHWAY 39
KLAMATH FALLS, OR
ZIP 97603
Phone: (541) 884-5244
- Individual
- Male
- Peer Specialist
About GEORGE CLARK
This page provides the complete NPI Profile along with additional information for George Clark, a provider established in Klamath Falls, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1750927075 assigned on November 2019. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1750927075
- Provider Name
- MR. GEORGE WESLEY CLARK CRM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603
- Location Phone
- (541) 884-5244
- Mailing Address
- 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603
- Mailing Phone
- (541) 884-5244
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-21-2019
- Last Update Date
- 10-12-2020
- 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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- OR
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | |
| 2 | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | |
| 3 | 374700000X | Nursing Service Related Providers | Technician | (OR) |
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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 | 7 | 5 | 0 | 9 | 2 | 7 | 0 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 18 | 2 | 14 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 8 + 2 + 1 + 4 + 0 + 1 + 4 + 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 = 5 | 5 | ||||||||
The NPI number 1750927075 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124396510 | KIRSTEN R HARTWELL B.S. Individual | Counselor (Addiction (Substance Use Disorder)) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1326489808 | MS. CINDA L FOLSOM CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1982901120 | MRS. SONJA ANN WILDER CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1770034423 | JOESPHINE GRAYSON Individual | Counselor (Addiction (Substance Use Disorder)) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1386110856 | JARON JAMES RIDDLE Individual | Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1902373236 | CHRISTINA LYNN RARRICK Individual | Technician, Other | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1578030847 | RACHEL LYNN OTTO Individual | Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1114494283 | TAYLOR DEE HAWK Individual | Technician, Other | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1316414980 | CHRISTINA MILEM Individual | Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1902374275 | ANGELA CAROL NELSON Individual | Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1356813521 | KRISTIN KAY LINGREN Individual | Pharmacy Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1326600180 | GAYLA MCLAUTHLIN Individual | Technician, Other | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1194379073 | CODY FLANDERS Individual | Technician/Technologist | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1255950275 | AMIEE MICHELE GRIMES I Individual | Technician/Technologist | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1205302189 | DAWN ELAINE MERRIGAN LPC Individual | Counselor (Mental Health) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1346885779 | SABRINA FLINT GARCIA Individual | Peer Specialist | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 885-5244 |
| 1770059586 | BARBARA ANN HEATH MA, MS, CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1225504798 | VALORIE MAE BROWN QMHA Individual | Technician | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1962006601 | KRISTINA JOHNSTON Individual | Technician, Other | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
| 1649874132 | DAVID JOHN SOWERS Individual | Technician, Other | 3647 HIGHWAY 39 KLAMATH FALLS, OR 97603 (541) 884-5244 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750927075, enumerated in the NPI registry as an "individual" on November 21, 2019
The provider is located at 3647 Highway 39 Klamath Falls, Or 97603 and the phone number is (541) 884-5244
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on November 21, 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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