LIFE CENTER OF GALAX
NPI 1972601193
Substance Abuse Rehabilitation Facility in Galax, VA

NPI Status: Active since September 20, 2006

Contact Information

112 PAINTER ST
GALAX, VA
ZIP 24333
Phone: (276) 236-2994
Fax: (276) 236-4802

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 49D1076158
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 11-05-2025

About LIFE CENTER OF GALAX

This page provides the complete NPI Profile along with additional information for Life Center Of Galax, a provider established in Galax, Virginia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1972601193 assigned on September 2006. The practitioner's primary taxonomy code is 324500000X with license number 617-01-025 (VA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Life Center Of Galax. The authorized official of this NPI record is Brian P Farley (Vp & Secretary)

NPI
1972601193
Provider Legal Name
GALAX TREATMENT CENTER, LLC
Other Organization Name
LIFE CENTER OF GALAX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
112 PAINTER ST GALAX, VA 24333
Location Phone
(276) 236-2994
Location Fax
(276) 236-4802
Mailing Address
6100 TOWER CIR STE 1000 FRANKLIN, TN 37067
Mailing Phone
(615) 861-6000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
08-28-2023
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Location Map

Secondary Locations

  • 160 Training Center Rd
    Hillsville, VA 24343
    (276) 236-2994

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.
617-01-025
License State
VA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

617-06-001 (VA)

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

BRIAN P FARLEY

Authorized Official Title
VP & SECRETARY
Authorized Official Phone
(615) 861-6000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1076158
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
November 06, 2023
Certificate Expiration Date
November 05, 2025
Laboratory Director
DEBORAH MOWERY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Life Center Of Galax to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LIFE CENTER OF GALAX

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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.
1972601193
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421202118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 2 + 0 + 2 + 1 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1972601193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063638781MRS. LORRY A. HIGGINS LPN
Individual
Licensed Practical Nurse112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1760608640MR. DANIEL A. MABUS
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1174749022MRS. TREVA M. OSBORNE LPN
Individual
Licensed Practical Nurse112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1386860237MRS. EMMA J. WARD LPN
Individual
Licensed Practical Nurse112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1326264052MRS. KAREN SAPP LPN
Individual
Licensed Practical Nurse112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1285851477MRS. DOROTHY J. TRUAX
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1023235256MR. MICHAEL ROY PAINTER
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1831316314MRS. DEBORAH W. FROST BS
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1821215864MR. STERLYN E. LINEBERRY LPN
Individual
Licensed Practical Nurse112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1417174335MR. BARRON MICHAEL GRIFFITH BS
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1619194545MRS. SAMANTHA SPICER RICHARDSON BSSW
Individual
Counselor (Addiction (Substance Use Disorder))112 PAINTER ST
GALAX, VA 24333
(276) 236-2994
1407506512 WANDA KAY DELONG
Individual
Nurse Practitioner (Family)112 PAINTER ST
GALAX, VA 24333
(276) 236-2994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972601193, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 112 Painter St Galax, Va 24333 and the phone number is (276) 236-2994

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

The provider's CLIA number is 49D1076158 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 20, 2006. 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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