CHAMPION RECOVERY LLC
NPI 1790386837
Clinic/Center - Rehabilitation, Substance Use Disorder in Orem, UT

NPI Status: Active since November 04, 2020

Contact Information

222 W 540 N
OREM, UT
ZIP 84057
Phone: (801) 661-7007

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CHAMPION RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Champion Recovery Llc, a provider established in Orem, Utah operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1790386837 assigned on November 2020. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Laura Lynn Boberg Sudc (Executive Director)

NPI
1790386837
Provider Name
CHAMPION RECOVERY LLC
Entity Type
Organization
Location Address
222 W 540 N OREM, UT 84057
Location Phone
(801) 661-7007
Mailing Address
222 W 540 N OREM, UT 84057
Mailing Phone
(801) 661-7007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2020
Last Update Date
11-04-2020
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

LAURA LYNN BOBERG SUDC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(801) 661-7007

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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.
1790386837
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180681286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 8 + 1 + 2 + 8 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1790386837 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922523281 KATHERINE B BRUNER LCMHC
Individual
Counselor (Mental Health)222 W 540 N
OREM, UT 84057
(801) 404-0064
1134723505 LAURA LYNN BOBERG SUDC
Individual
Counselor (Addiction (Substance Use Disorder))222 W 540 N
OREM, UT 84057
(801) 661-7007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790386837, enumerated in the NPI registry as an "organization" on November 04, 2020

The provider is located at 222 W 540 N Orem, Ut 84057 and the phone number is (801) 661-7007

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on November 04, 2020. 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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