CORNELL INTERVENTIONS
NPI 1902007800
Substance Abuse Rehabilitation Facility in East Saint Louis, IL

NPI Status: Active since May 29, 2007

Contact Information

302 N 5TH ST
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 271-4542

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  • Organization
  • Substance Abuse Rehabilitation Facility

About CORNELL INTERVENTIONS

This page provides the complete NPI Profile along with additional information for Cornell Interventions, a provider established in East Saint Louis, Illinois operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1902007800 assigned on May 2007. The practitioner's primary taxonomy code is 324500000X with license number A-8981-0017-A (IL). 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 Jeff Reavy (Contract Mgr)

NPI
1902007800
Provider Name
CORNELL INTERVENTIONS
Entity Type
Organization
Location Address
302 N 5TH ST EAST SAINT LOUIS, IL 62201
Location Phone
(618) 271-4542
Mailing Address
302 N 5TH ST EAST SAINT LOUIS, IL 62201
Mailing Phone
(618) 271-4542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2007
Last Update Date
08-22-2020
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
A-8981-0017-A
License State
IL
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

JEFF REAVY

Authorized Official Title
CONTRACT MGR
Authorized Official Phone
(630) 824-4547

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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.
1902007800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902001480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 0 + 1 + 4 + 8 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1902007800 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 1902007800, enumerated in the NPI registry as an "organization" on May 29, 2007

The provider is located at 302 N 5th St East Saint Louis, Il 62201 and the phone number is (618) 271-4542

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

This NPI record was last updated on May 29, 2007. 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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