VANDYKE MEDICAL CLINIC MANAGEMENT CORP
NPI 1174632087
Clinic/Center - Health Service in Detroit, MI

NPI Status: Active since August 30, 2006

Contact Information

19431 VAN DYKE ST
DETROIT, MI
ZIP 48234
Phone: (313) 893-2010
Fax: (313) 893-3308

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  • Organization
  • Clinic/Center
  • Health Service

About VANDYKE MEDICAL CLINIC MANAGEMENT CORP

This page provides the complete NPI Profile along with additional information for Vandyke Medical Clinic Management Corp, a provider established in Detroit, Michigan operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1174632087 assigned on August 2006. The practitioner's primary taxonomy code is 261QH0100X with license number 4301081357 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Ernest A Mullen M.d. (President)

NPI
1174632087
Provider Name
VANDYKE MEDICAL CLINIC MANAGEMENT CORP
Entity Type
Organization
Location Address
19431 VAN DYKE ST DETROIT, MI 48234
Location Phone
(313) 893-2010
Location Fax
(313) 893-3308
Mailing Address
19431 VAN DYKE ST DETROIT, MI 48234
Mailing Phone
(313) 893-2010
Mailing Fax
(313) 893-3308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
12-01-2015
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
4301081357
License State
MI

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. ERNEST A MULLEN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(313) 893-2010

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
080H249740OTHER (01)MIBLUE CROSS GROUP PIN
4796189 TYPE 10MEDICAID (05)MI 

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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 1174632087, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 7 → 14 → 5 6 → 12 → 3 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 + 1 + 1 + 4 + 4 + 1 + 2 + 3 + 4 + 0 + 1 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174632087.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
19431 VAN DYKE ST
DETROIT, MI 48234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174632087, enumerated as an "organization" on August 30, 2006.

The provider is located at 19431 VAN DYKE ST DETROIT, MI 48234 and the phone number is (313) 893-2010.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.