MAIN STREET MEDICAL
NPI 1033247176
Preferred Provider Organization in Mcgehee, AR

NPI Status: Active since March 01, 2007

Contact Information

206 S 1ST ST
MCGEHEE, AR
ZIP 71654
Phone: (870) 222-3644
Fax: (870) 222-3682

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  • Preferred Provider Organization

About MAIN STREET MEDICAL

This page provides the complete NPI Profile along with additional information for Main Street Medical, a provider established in Mcgehee, Arkansas operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1033247176 assigned on March 2007. The practitioner's primary taxonomy code is 305R00000X with license number R3053 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Main Street Medical. The authorized official of this NPI record is Dr. Peter Kong Go Md (Physician)

NPI
1033247176
Provider Legal Name
MCGEHEE DESHA CO HOSPITAL
Other Organization Name
MAIN STREET MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
206 S 1ST ST MCGEHEE, AR 71654
Location Phone
(870) 222-3644
Location Fax
(870) 222-3682
Mailing Address
206 S 1ST ST MCGEHEE, AR 71654
Mailing Phone
(870) 222-3644
Mailing Fax
(870) 222-3682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
R3053
License State
AR
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. PETER KONG GO MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(870) 222-3644

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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 1033247176, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 3 → 6 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 4 + 4 + 1 + 4 + 1 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1033247176.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
206 S 1ST ST
MC GEHEE, AR 71654
Clinic/Center (Federally Qualified Health Center (FQHC))
206 S 1ST ST
MC GEHEE, AR 71654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033247176, enumerated as an "organization" on March 01, 2007.

The provider is located at 206 S 1ST ST MCGEHEE, AR 71654 and the phone number is (870) 222-3644.

Preferred Provider Organization with taxonomy code 305R00000X.