CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
NPI 1245758135
Clinic/Center - Methadone in Suffolk, VA
NPI Status: Active since August 31, 2017
Contact Information
1258 HOLLAND RD
SUFFOLK, VA
ZIP 23434
Phone: (757) 809-4771
Fax: (757) 809-4932
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 49D2136206
- CLIA Cert. Type: Other - OPIOID TREATMENT PROGRAM
- CLIA Exp. Date: 09-04-2027
About CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Suffolk, Pc, a provider established in Suffolk, Virginia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1245758135 assigned on August 2017. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Rupert Mccormac Iv Md (Chief Executive Officer)
- NPI
- 1245758135
- Provider Name
- CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
- Entity Type
- Organization
- Location Address
- 1258 HOLLAND RD SUFFOLK, VA 23434
- Location Phone
- (757) 809-4771
- Location Fax
- (757) 809-4932
- Mailing Address
- PO BOX 749057 ATLANTA, GA 30374
- Mailing Phone
- (800) 805-6989
- Mailing Fax
- (757) 809-4932
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2017
- Last Update Date
- 09-03-2024
- 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
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- License State
- VA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | (VA) |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 49D2136206
- Facility Type
- Other - OPIOID TREATMENT PROGRAM
- Certificate Effective Date
- September 05, 2025
- Certificate Expiration Date
- September 04, 2027
- Laboratory Director
- JAMES STEPHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossroads Treatment Center Of Suffolk, 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 1245758135, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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 65 is 70. 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.
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
SUFFOLK, VA 23434
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245758135, enumerated as an "organization" on August 31, 2017.
The provider is located at 1258 HOLLAND RD SUFFOLK, VA 23434 and the phone number is (757) 809-4771.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
