PORT SANILAC HEALTHCARE
NPI 1013799469
Clinic/Center in Port Sanilac, MI

NPI Status: Active since October 19, 2023

Contact Information

245 S RIDGE ST
PORT SANILAC, MI
ZIP 48469
Phone: (810) 376-2835

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 23D0372861
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About PORT SANILAC HEALTHCARE

This page provides the complete NPI Profile along with additional information for Port Sanilac Healthcare, a provider established in Port Sanilac, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013799469 assigned on October 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Port Sanilac Healthcare. The authorized official of this NPI record is Angela Mcconnachie (Ceo)

NPI
1013799469
Provider Legal Name
DECKERVILLE COMMUNITY HOSPITAL, INC
Other Organization Name
PORT SANILAC HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
245 S RIDGE ST PORT SANILAC, MI 48469
Location Phone
(810) 376-2835
Mailing Address
PO BOX 126 DECKERVILLE, MI 48427
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-19-2023
Last Update Date
12-14-2023
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ANGELA MCCONNACHIE

Authorized Official Title
CEO
Authorized Official Phone
(989) 635-4000

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
23D0372861
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. EUGENE S. OLSOWKA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Port Sanilac Healthcare on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PORT SANILAC HEALTHCARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013799469, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 4 + 9 + 1 + 8 + 4 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013799469.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Dental Hygienist
245 S RIDGE ST
PORT SANILAC, MI 48469
Clinic/Center (Rural Health)
245 S RIDGE ST
PORT SANILAC, MI 48469
Internal Medicine
245 S RIDGE ST
PORT SANILAC, MI 48469

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013799469, enumerated as an "organization" on October 19, 2023.

The provider is located at 245 S RIDGE ST PORT SANILAC, MI 48469 and the phone number is (810) 376-2835.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.