WACCAMAW CENTER FOR MENTAL HEALTH
NPI 1093362881
Clinic/Center - Mental Health (Including Community Mental Health Center) in Conway, SC

NPI Status: Active since August 26, 2019

Contact Information

164 WACCAMAW MEDICAL PARK DR
CONWAY, SC
ZIP 29526
Phone: (843) 347-4888

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...
CLIA Number: 42D0957487
CLIA Cert. Type: Practitioner Other
CLIA Exp. Date: 02-21-2027

About WACCAMAW CENTER FOR MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Waccamaw Center For Mental Health, a provider established in Conway, South Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1093362881 assigned on August 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Matthew J Beauchemin Ba/bs (Human Services Coordinator I)

NPI: 1093362881
Provider Name: WACCAMAW CENTER FOR MENTAL HEALTH
Entity Type: Organization
Location Address: 164 WACCAMAW MEDICAL PARK DR CONWAY, SC 29526
Location Phone: (843) 347-4888
Mailing Address: 164 WACCAMAW MEDICAL PARK DR CONWAY, SC 29526
Mailing Phone: (843) 347-4888
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 08-26-2019
Last Update Date: 08-26-2019
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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 Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
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: MR. MATTHEW J BEAUCHEMIN BA/BS
Authorized Official Title: HUMAN SERVICES COORDINATOR I
Authorized Official Phone: (843) 347-4888

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: 42D0957487
Facility Type: Practitioner Other
Certificate Effective Date: February 22, 2025
Certificate Expiration Date: February 21, 2027
Laboratory Director: DR. STEPHEN D. HAMMOND
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Waccamaw Center For Mental Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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 1093362881, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 9 → 18 → 9 3 → 6 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 6 + 6 + 4 + 8 + 1 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1093362881.