BRIDGEWAY BEHAVIORAL HEALTH
NPI 1831617802
Substance Abuse Rehabilitation Facility in Saint Charles, MO

NPI Status: Active since August 30, 2017

Contact Information

118 N 2ND ST
SAINT CHARLES, MO
ZIP 63301
Phone: (636) 224-1000
Fax: (636) 224-1210

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  • Organization
  • Substance Abuse Rehabilitation Facility

About BRIDGEWAY BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Bridgeway Behavioral Health, a provider established in Saint Charles, Missouri operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1831617802 assigned on August 2017. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Bridgeway Behavioral Health. The authorized official of this NPI record is Mark Conover (Chief Revenue Officer)

NPI
1831617802
Provider Legal Name
PREFERRED FAMILY HEALTHCARE INC
Other Organization Name
BRIDGEWAY BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
118 N 2ND ST SAINT CHARLES, MO 63301
Location Phone
(636) 224-1000
Location Fax
(636) 224-1210
Mailing Address
1601 OLD SOUTH RIVER RD SAINT CHARLES, MO 63303
Mailing Phone
(636) 224-1210
Mailing Fax
(636) 224-1210
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-30-2017
Last Update Date
07-29-2022
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MARK CONOVER

Authorized Official Title
CHIEF REVENUE OFFICER
Authorized Official Phone
(573) 603-1460

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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.
1831617802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611211480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 2 + 1 + 1 + 4 + 8 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1831617802 is valid because the calculated check digit 2 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
1831717966 PAMELA MARIE MADAN
Individual
Registered Nurse118 N 2ND ST
SAINT CHARLES, MO 63301
(636) 224-1210
1043426471RORY RIES COUNSELING SERVICES
Organization
Clinic/Center (Adult Mental Health)118 N 2ND ST
SAINT CHARLES, MO 63301
(636) 328-1909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831617802, enumerated in the NPI registry as an "organization" on August 30, 2017

The provider is located at 118 N 2nd St Saint Charles, Mo 63301 and the phone number is (636) 224-1000

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on August 30, 2017. 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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