ST. MADRON MEDICAL CLINIC
NPI 1285068791
Specialist in Roland, OK
NPI Status: Active since September 03, 2013
Contact Information
205 E. RAY FINE BLVD ST. 6
ROLAND, OK
ZIP 74954
Phone: (918) 503-6235
Fax: (918) 398-0637
- Organization
- Specialist
About ST. MADRON MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for St. Madron Medical Clinic, a provider established in Roland, Oklahoma operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1285068791 assigned on September 2013. The practitioner's primary taxonomy code is 174400000X with license number 17754 (OK). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Wellness Clinic Of Roland Inc. The authorized official of this NPI record is Darren Brewer (Owner)
- NPI
- 1285068791
- Provider Legal Name
- ST. MADRON MEDICAL CLINIC
- Other Organization Name
- WELLNESS CLINIC OF ROLAND INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 205 E. RAY FINE BLVD ST. 6 ROLAND, OK 74954
- Location Phone
- (918) 503-6235
- Location Fax
- (918) 398-0637
- Mailing Address
- 303 TOWSON AVE. FORT SMITH, AR 72901
- Mailing Phone
- (918) 503-6235
- Mailing Fax
- (918) 398-0637
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-03-2013
- Last Update Date
- 08-06-2015
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 17754
- License State
- OK
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1285068791, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285068791, enumerated as an "organization" on September 03, 2013.
The provider is located at 205 E. RAY FINE BLVD ST. 6 ROLAND, OK 74954 and the phone number is (918) 503-6235.
Specialist with taxonomy code 174400000X.
