PROFESSIONAL DRIVERS MEDICAL DEPOTS
NPI 1205038585
Clinic/Center in West Memphis, AR

NPI Status: Active since May 31, 2007

Contact Information

3902 PETRO ROAD
I-40, EXIT 280
WEST MEMPHIS, AR
ZIP 72301
Phone: (615) 661-8929
Fax: (615) 661-8977

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  • Organization
  • Clinic/Center

About PROFESSIONAL DRIVERS MEDICAL DEPOTS

This page provides the complete NPI Profile along with additional information for Professional Drivers Medical Depots, a provider established in West Memphis, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205038585 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Colleen Adams (Billing Manager)

NPI
1205038585
Provider Name
PROFESSIONAL DRIVERS MEDICAL DEPOTS
Entity Type
Organization
Location Address
3902 PETRO ROAD I-40, EXIT 280 WEST MEMPHIS, AR 72301
Location Phone
(615) 661-8929
Location Fax
(615) 661-8977
Mailing Address
3902 PETRO ROAD WEST MEMPHIS, AR 72301
Mailing Phone
(615) 661-8929
Mailing Fax
(615) 661-8977
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2007
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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
AR
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MRS. COLLEEN ADAMS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(615) 661-8929

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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 1205038585, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 0 → 0 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 0 + 3 + 1 + 6 + 5 + 1 + 6 + 24 = 55

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.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205038585.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205038585, enumerated as an "organization" on May 31, 2007.

The provider is located at 3902 PETRO ROAD I-40, EXIT 280 WEST MEMPHIS, AR 72301 and the phone number is (615) 661-8929.

Clinic/Center with taxonomy code 261Q00000X.