CANYON VISTA RECOVERY CENTER
NPI 1871128520
Clinic/Center - Rehabilitation, Substance Use Disorder in Mesa, AZ

NPI Status: Active since March 03, 2020

Contact Information

846 N CENTER ST.
MESA, AZ
ZIP 85201
Phone: (480) 464-5764
Fax: (480) 834-5372

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

About CANYON VISTA RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Canyon Vista Recovery Center, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1871128520 assigned on March 2020. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Canyon Vista Recovery Center. The authorized official of this NPI record is Paul Gilbert (Chief Legal Officer)

NPI
1871128520
Provider Legal Name
SUMMIT BHC MESA LLC
Other Organization Name
CANYON VISTA RECOVERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
846 N CENTER ST. MESA, AZ 85201
Location Phone
(480) 464-5764
Location Fax
(480) 834-5372
Mailing Address
860 N CENTER ST MESA, AZ 85201
Mailing Phone
(480) 464-5764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2020
Last Update Date
11-01-2024
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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

PAUL GILBERT

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(615) 716-4924

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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.
1871128520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141221654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 2 + 2 + 1 + 6 + 5 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1871128520 is valid because the calculated check digit 0 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 1871128520, enumerated in the NPI registry as an "organization" on March 03, 2020

The provider is located at 846 N Center St. Mesa, Az 85201 and the phone number is (480) 464-5764

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 March 03, 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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