ST. LUCIE MEDICAL CENTER
NPI 1164790655
General Acute Care Hospital in Port St Lucie, FL
NPI Status: Active since December 12, 2011
Contact Information
1800 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 398-1990
- Organization
- General Acute Care Hospital
- CLIA Number: 10D2005609
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 03-30-2028
About ST. LUCIE MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for St. Lucie Medical Center, a provider established in Port St Lucie, Florida operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1164790655 assigned on December 2011. The practitioner's primary taxonomy code is 282N00000X with license number UO2524 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Thomas Matese D.o. (Director Medical Education)
- NPI
- 1164790655
- Provider Name
- ST. LUCIE MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1800 SE TIFFANY AVE PORT ST LUCIE, FL 34952
- Location Phone
- (772) 398-1990
- Mailing Address
- 139 OCEAN COVE DR JUPITER, FL 33477
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2011
- Last Update Date
- 12-12-2011
- Code Navigator
Location Map
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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- UO2524
- License State
- FL
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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
- 10D2005609
- Facility Type
- Practitioner Other
- Certificate Effective Date
- March 31, 2026
- Certificate Expiration Date
- March 30, 2028
- Laboratory Director
- BERJAN COLLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Lucie Medical Center 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 ST. LUCIE MEDICAL CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1164790655, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164790655, enumerated as an "organization" on December 12, 2011.
The provider is located at 1800 SE TIFFANY AVE PORT ST LUCIE, FL 34952 and the phone number is (772) 398-1990.
General Acute Care Hospital with taxonomy code 282N00000X.
