SAMPSON REGIONAL MEDICAL CENTER ONCOLOGY
NPI 1164500716
Clinic/Center - Oncology, Radiation in Clinton, NC

NPI Status: Active since November 01, 2006

Contact Information

215 BEAMAN STREET
CLINTON, NC
ZIP 28328
Phone: (910) 592-8511
Fax: (910) 592-5461

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  • Organization
  • Clinic/Center
  • Oncology, Radiation
  • CLIA Number: 34D2046178
  • CLIA Cert. Type: Other - BLOOD DONOR COLLECT SITE
  • CLIA Exp. Date: 08-27-2026

About SAMPSON REGIONAL MEDICAL CENTER ONCOLOGY

This page provides the complete NPI Profile along with additional information for Sampson Regional Medical Center Oncology, a provider established in Clinton, North Carolina operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1164500716 assigned on November 2006. The practitioner's primary taxonomy code is 261QX0203X with license number 082-0407-A1 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sampson Regional Medical Center Oncology. The authorized official of this NPI record is Mr. Gerald Heinzman (Cfo)

NPI
1164500716
Provider Legal Name
SAMPSON REGIONAL MEDICAL CENTER
Other Organization Name
SAMPSON REGIONAL MEDICAL CENTER ONCOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
215 BEAMAN STREET CLINTON, NC 28328
Location Phone
(910) 592-8511
Location Fax
(910) 592-5461
Mailing Address
607 BEAMAN ST CLINTON, NC 28328
Mailing Phone
(910) 590-2644
Mailing Fax
(910) 592-5461
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
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

Clinic/Center Oncology, Radiation

Taxonomy Code
261QX0203X
Type
Ambulatory Health Care Facilities
License No.
082-0407-A1
License State
NC

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. GERALD HEINZMAN

Authorized Official Title
CFO
Authorized Official Phone
(910) 592-8511

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
34D2046178
Facility Type
Other - BLOOD DONOR COLLECT SITE
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
FALVY C. BARR JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sampson Regional Medical Center Oncology 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.

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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 1164500716, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
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 6 → 12 → 3 5 → 10 → 1 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 0 + 0 + 0 + 7 + 2 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164500716.

Other Providers at the Same Location


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

Radiology (Radiation Oncology)
215 BEAMAN STREET
CLINTON, NC 28328
Radiology (Radiation Oncology)
215 BEAMAN STREET
CLINTON, NC 28328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164500716, enumerated as an "organization" on November 01, 2006.

The provider is located at 215 BEAMAN STREET CLINTON, NC 28328 and the phone number is (910) 592-8511.

Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.