SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE
NPI 1831505874
Special Hospital in St. George, UT

NPI Status: Active since July 10, 2014

Contact Information

120 W. 1470 SOUTH
BUILDING B
ST. GEORGE, UT
ZIP 84770
Phone: (435) 272-0220
Fax: (435) 272-0222

Get Directions Reviews

  • Organization
  • Special Hospital

About SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE

This page provides the complete NPI Profile along with additional information for Shadow Mountain Detox Hospital, St. George, a provider established in St. George, Utah operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1831505874 assigned on July 2014. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Shadow Mountain Detox Hospital, St. George. The authorized official of this NPI record is Jackie Holub (Vice President)

NPI
1831505874
Provider Legal Name
SHADOW MOUNTAIN LLC.
Other Organization Name
SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
120 W. 1470 SOUTH BUILDING B ST. GEORGE, UT 84770
Location Phone
(435) 272-0220
Location Fax
(435) 272-0222
Mailing Address
PO BOX 830525 DEPARTMENT # SF 59 BIRMINGHAM, AL 35283
Mailing Phone
(931) 451-7757
Mailing Fax
(435) 272-0222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2014
Last Update Date
04-26-2017
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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

JACKIE HOLUB

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(925) 389-8591

Reviews for SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1831505874
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286110010814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1831505874 is valid because the calculated check digit 4 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 1831505874, enumerated in the NPI registry as an "organization" on July 10, 2014

The provider is located at 120 W. 1470 South Building B St. George, Ut 84770 and the phone number is (435) 272-0220

This medical organization specializes in Special Hospital with taxonomy code 284300000X

This NPI record was last updated on July 10, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.