BLACK ROCK INTEGRATIVE MEDICINE
NPI 1285102764
Clinic/Center - Multi-Specialty in Hagerstown, MD

NPI Status: Active since November 02, 2018

Contact Information

120 N POTOMAC ST
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 790-4938
Fax: (301) 850-2135

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About BLACK ROCK INTEGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Black Rock Integrative Medicine, a provider established in Hagerstown, Maryland operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1285102764 assigned on November 2018. The practitioner's primary taxonomy code is 261QM1300X. 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 Mrs. Sheri Denham Crnp (Nurse Practitioner/ Owner)

NPI
1285102764
Provider Name
BLACK ROCK INTEGRATIVE MEDICINE
Entity Type
Organization
Location Address
120 N POTOMAC ST HAGERSTOWN, MD 21740
Location Phone
(301) 790-4938
Location Fax
(301) 850-2135
Mailing Address
20615 WOODBRIDGE DR HAGERSTOWN, MD 21742
Mailing Phone
(301) 790-4938
Mailing Fax
(301) 850-2135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2018
Last Update Date
07-08-2024
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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. SHERI DENHAM CRNP

Authorized Official Title
NURSE PRACTITIONER/ OWNER
Authorized Official Phone
(301) 790-4938

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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 1285102764, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 2 + 0 + 4 + 7 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1285102764.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285102764, enumerated as an "organization" on November 02, 2018.

The provider is located at 120 N POTOMAC ST HAGERSTOWN, MD 21740 and the phone number is (301) 790-4938.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.