CHICHORA LIFE CENTER
NPI 1336528504
Clinic/Center - Federally Qualified Health Center (FQHC) in North Charleston, SC

NPI Status: Active since May 21, 2015

Contact Information

3600 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 772-4112

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CHICHORA LIFE CENTER

This page provides the complete NPI Profile along with additional information for Chichora Life Center, a primary care provider established in North Charleston, South Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336528504 assigned on May 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Chichora Life Center. The authorized official of this NPI record is Reuben Pettiford (Ceo)

NPI
1336528504
Provider Legal Name
FETTER HEALTH CARE NETWORK INC.
Other Organization Name
CHICHORA LIFE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3600 RIVERS AVE NORTH CHARLESTON, SC 29405
Location Phone
(843) 772-4112
Mailing Address
51 NASSAU ST CHARLESTON, SC 29403
Mailing Phone
(843) 722-4112
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2015
Last Update Date
05-21-2015
Code Navigator

A primary care provider (PCP) like Chichora Life Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
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

REUBEN PETTIFORD

Authorized Official Title
CEO
Authorized Official Phone
(843) 722-4112

Reviews for CHICHORA LIFE CENTER

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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 1336528504, 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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
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 3 → 6 5 → 10 → 1 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 0 + 2 + 1 + 6 + 5 + 0 + 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 1336528504.

Other Providers at the Same Location


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

Dentist (General Practice)
3600 RIVERS AVE, CODE 09MD.2
NORTH CHARLESTON, SC 29405
Nurse Anesthetist, Certified Registered
3600 RIVERS AVE
CHARLESTON, SC 29405
Physician Assistant
3600 RIVERS AVE
N CHARLESTON, SC 29405
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Family Medicine
3600 RIVERS AVE, NAVAL HOSPITAL CHARLESTON
NORTH CHARLESTON, SC 29405
Internal Medicine
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Preventive Medicine (Occupational Medicine)
3600 RIVERS AVE, NAVAL HEALTH CLINIC CHARLESTON
NORTH CHARLESTON, SC 29405
Physical Medicine & Rehabilitation
3600 RIVERS AVE
CHARLESTON, SC 29405
Registered Nurse (Administrator)
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Counselor (Mental Health)
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Occupational Therapist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Nurse Practitioner (Women's Health)
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Social Worker
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Dietitian, Registered
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Audiologist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Military Health Care Provider
3600 RIVERS AVE, BOX 487 NAVHOSP
NORTH CHARLESTON, SC 29405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336528504, enumerated as an "organization" on May 21, 2015.

The provider is located at 3600 RIVERS AVE NORTH CHARLESTON, SC 29405 and the phone number is (843) 772-4112.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).