PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1245445972
Clinic/Center - Urgent Care in Port Huron, MI

NPI Status: Active since May 14, 2007

Contact Information

2425 MILITARY ST BLDG 2
PORT HURON, MI
ZIP 48060
Phone: (810) 984-5700
Fax: (810) 984-1886

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 23D1049795
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-17-2028

About PHYSICIAN HEALTHCARE NETWORK, PC

This page provides the complete NPI Profile along with additional information for Physician Healthcare Network, Pc, a provider established in Port Huron, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1245445972 assigned on May 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mimma Cusumano (Director Of Finance)

NPI
1245445972
Provider Name
PHYSICIAN HEALTHCARE NETWORK, PC
Entity Type
Organization
Location Address
2425 MILITARY ST BLDG 2 PORT HURON, MI 48060
Location Phone
(810) 984-5700
Location Fax
(810) 984-1886
Mailing Address
3050 COMMERCE DR FORT GRATIOT, MI 48059
Mailing Phone
(810) 385-4441
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2007
Last Update Date
08-09-2022
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License State
MI

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

MIMMA CUSUMANO

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(810) 385-8081

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
23D1049795
Facility Type
Physician Office
Certificate Effective Date
January 18, 2026
Certificate Expiration Date
January 17, 2028
Laboratory Director
MICHELE L. RAYMOND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physician Healthcare Network, Pc 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 1245445972, 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
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 4 → 8 4 → 8 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 8 + 4 + 1 + 0 + 9 + 1 + 4 + 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 1245445972.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245445972, enumerated as an "organization" on May 14, 2007.

The provider is located at 2425 MILITARY ST BLDG 2 PORT HURON, MI 48060 and the phone number is (810) 984-5700.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.