SAINT LAZARUS BEHAVIORAL HEALTH INC.
NPI 1780814574
Clinic/Center - Adolescent and Children Mental Health in Macon, GA
NPI Status: Active since July 15, 2009
Contact Information
4905 FORSYTH RD
MACON, GA
ZIP 31210
Phone: (865) 765-8224
Fax: (478) 474-6585
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About SAINT LAZARUS BEHAVIORAL HEALTH INC.
This page provides the complete NPI Profile along with additional information for Saint Lazarus Behavioral Health Inc., a provider established in Macon, Georgia operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1780814574 assigned on July 2009. The practitioner's primary taxonomy code is 261QM0855X with license number 056360 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Samuel Inimbom Samuel Md (President)
- NPI
- 1780814574
- Provider Name
- SAINT LAZARUS BEHAVIORAL HEALTH INC.
- Entity Type
- Organization
- Location Address
- 4905 FORSYTH RD MACON, GA 31210
- Location Phone
- (865) 765-8224
- Location Fax
- (478) 474-6585
- Mailing Address
- 273 PROVIDENCE BLVD MACON, GA 31210
- Mailing Phone
- (865) 765-8224
- Mailing Fax
- (478) 474-6585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2009
- Last Update Date
- 07-15-2009
- 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 Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 056360
- License State
- GA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 056360 (GA) |
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.
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 |
|---|---|---|---|
| 148899 | MEDICARE UPIN (02) | TN | |
| 712889273A | MEDICAID (05) | GA |
Reviews for SAINT LAZARUS BEHAVIORAL HEALTH INC.
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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 | 8 | 0 | 8 | 1 | 4 | 5 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 16 | 1 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 6 + 1 + 8 + 5 + 1 + 4 + 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 = 4 | 4 | ||||||||
The NPI number 1780814574 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1619243938 | MRS. LINDA DIANNE LUCAS REGISTERED NURSE Individual | Registered Nurse | 4905 FORSYTH RD MACON, GA 31210 (478) 471-1700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780814574, enumerated in the NPI registry as an "organization" on July 15, 2009
The provider is located at 4905 Forsyth Rd Macon, Ga 31210 and the phone number is (865) 765-8224
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children 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 July 15, 2009. 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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