LICKING MEMORIAL HEALTH SYSTEM
NPI 1184174682
Clinic/Center - Health Service in Newark, OH

NPI Status: Active since October 07, 2016

Contact Information

1320 W MAIN ST
NEWARK, OH
ZIP 43055
Phone: (220) 564-1898
Fax: (220) 564-1899

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 36D2043631
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-05-2026

About LICKING MEMORIAL HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Licking Memorial Health System, a provider established in Newark, Ohio operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1184174682 assigned on October 2016. The practitioner's primary taxonomy code is 261QH0100X with license number 03325440 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Jason Edward Sturgeon R.ph. (Medication Therapy Clinic Manager)

NPI
1184174682
Provider Name
LICKING MEMORIAL HEALTH SYSTEM
Entity Type
Organization
Location Address
1320 W MAIN ST NEWARK, OH 43055
Location Phone
(220) 564-1898
Location Fax
(220) 564-1899
Mailing Address
1320 W MAIN ST NEWARK, OH 43055
Mailing Phone
(220) 564-1898
Mailing Fax
(220) 564-1899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2016
Last Update Date
10-07-2016
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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.
03325440
License State
OH

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. JASON EDWARD STURGEON R.PH.

Authorized Official Title
MEDICATION THERAPY CLINIC MANAGER
Authorized Official Phone
(220) 564-1898

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
36D2043631
Facility Type
Physician Office
Certificate Effective Date
July 06, 2024
Certificate Expiration Date
July 05, 2026
Laboratory Director
GURUNANTHAN PALANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Licking Memorial Health System 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 1184174682, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 8 → 16 → 7 1 → 2 4 → 8 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 + 6 + 4 + 2 + 7 + 8 + 6 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1184174682.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Pathology (Anatomic Pathology & Clinical Pathology)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Internal Medicine (Cardiovascular Disease)
1320 W MAIN ST
NEWARK, OH 43055
Registered Nurse
1320 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner (Family)
1320 W MAIN ST
NEWARK, OH 43055
Rehabilitation Unit
1320 W MAIN ST
NEWARK, OH 43055
Pathology (Anatomic Pathology & Clinical Pathology)
1320 W MAIN ST
NEWARK, OH 43055
Radiology (Diagnostic Radiology)
1320 W MAIN ST
NEWARK, OH 43055
Internal Medicine (Gastroenterology)
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Internal Medicine (Hematology & Oncology)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Pathology (Anatomic Pathology & Clinical Pathology)
1320 W MAIN ST
NEWARK, OH 43055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184174682, enumerated as an "organization" on October 07, 2016.

The provider is located at 1320 W MAIN ST NEWARK, OH 43055 and the phone number is (220) 564-1898.

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