PLYMOUTH CARVER PRIMARY CARE
NPI 1295063626
Clinic/Center - Multi-Specialty in Plymouth, MA

NPI Status: Active since November 23, 2009

Contact Information

110 LONG POND RD
SUITE 212
PLYMOUTH, MA
ZIP 02360
Phone: (508) 746-7272
Fax: (508) 746-0104

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 22D0080147
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-01-2027

About PLYMOUTH CARVER PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Plymouth Carver Primary Care, a provider established in Plymouth, Massachusetts operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1295063626 assigned on November 2009. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Heather Jane Conway Anp- Bc (Nurse Practitioner)

NPI
1295063626
Provider Name
PLYMOUTH CARVER PRIMARY CARE
Entity Type
Organization
Location Address
110 LONG POND RD SUITE 212 PLYMOUTH, MA 02360
Location Phone
(508) 746-7272
Location Fax
(508) 746-0104
Mailing Address
110 LONG POND RD SUITE 212 PLYMOUTH, MA 02360
Mailing Phone
(508) 746-7272
Mailing Fax
(508) 746-0104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2009
Last Update Date
11-23-2009
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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. HEATHER JANE CONWAY ANP- BC

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(508) 746-7272

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
22D0080147
Facility Type
Physician Office
Certificate Effective Date
December 02, 2025
Certificate Expiration Date
December 01, 2027
Laboratory Director
MITCHELL L. OLIVER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Plymouth Carver Primary Care 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 1295063626, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 9 → 18 → 9 0 → 0 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 0 + 6 + 6 + 6 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1295063626.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
110 LONG POND RD, STE 122
PLYMOUTH, MA 02360
Pediatrics
110 LONG POND RD, SUITE 211
PLYMOUTH, MA 02360
Pediatrics
110 LONG POND RD, SUITE 211
PLYMOUTH, MA 02360
Physical Therapist
110 LONG POND RD, SUITE 111
PLYMOUTH, MA 02360
Orthopaedic Surgery
110 LONG POND RD, SUITE 104
PLYMOUTH, MA 02360
Internal Medicine
110 LONG POND RD
PLYMOUTH, MA 02360
Plastic Surgery
110 LONG POND RD, SUITE 201
PLYMOUTH, MA 02360
Dentist (Endodontics)
110 LONG POND RD, SUITE 124
PLYMOUTH, MA 02360
Prosthetic/Orthotic Supplier
110 LONG POND RD, SUITE 111
PLYMOUTH, MA 02360
Specialist
110 LONG POND RD, SUITE 105
PLYMOUTH, MA 02360
Internal Medicine (Cardiovascular Disease)
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Nurse Practitioner
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Nurse Practitioner
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Internal Medicine (Gastroenterology)
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Internal Medicine (Cardiovascular Disease)
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Internal Medicine
110 LONG POND RD, SUITE 205
PLYMOUTH, MA 02360
Acupuncturist
110 LONG POND RD, STE 111
PLYMOUTH, MA 02360
Pediatrics
110 LONG POND RD, SUITE 211
PLYMOUTH, MA 02360
Nurse Practitioner (Adult Health)
110 LONG POND RD, SUITE 212
PLYMOUTH, MA 02360
Physical Therapy Assistant
110 LONG POND RD, SUITE 111
PLYMOUTH, MA 02360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295063626, enumerated as an "organization" on November 23, 2009.

The provider is located at 110 LONG POND RD SUITE 212 PLYMOUTH, MA 02360 and the phone number is (508) 746-7272.

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