MASONIC URGENT CARE CENTER
NPI 1386892834
Clinic/Center - Urgent Care in Saint Clair Shores, MI

NPI Status: Active since September 08, 2008

Contact Information

21099 MASONIC BLVD
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 296-6213
Fax: (586) 296-8180

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  • Organization
  • Clinic/Center
  • Urgent Care

About MASONIC URGENT CARE CENTER

This page provides the complete NPI Profile along with additional information for Masonic Urgent Care Center, a provider established in Saint Clair Shores, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1386892834 assigned on September 2008. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Masonic Urgent Care Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Masonic Urgent Care Center. The authorized official of this NPI record is Jennifer Johnson (Director)

NPI
1386892834
Provider Legal Name
ST. JOHN HOSPITAL AND MEDICAL CENTER
Other Organization Name
MASONIC URGENT CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21099 MASONIC BLVD SAINT CLAIR SHORES, MI 48082
Location Phone
(586) 296-6213
Location Fax
(586) 296-8180
Mailing Address
21099 MASONIC BLVD SAINT CLAIR SHORES, MI 48082
Mailing Phone
(586) 296-6213
Mailing Fax
(586) 296-8180
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2008
Last Update Date
12-12-2012
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License State
MI

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER JOHNSON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(586) 228-4560

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
700E014700OTHER (01)MIBCBS GROUP NUMBER
700E031610OTHER (01)MIBCBS GROUP NUMBER
700E034110OTHER (01)MIBCBS GROUP NUMBER
MI3971MEDICARE PIN (08)MI 

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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 1386892834, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
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 8 → 16 → 7 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 6 + 9 + 4 + 8 + 6 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1386892834.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
ST CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Family Medicine
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386892834, enumerated as an "organization" on September 08, 2008.

The provider is located at 21099 MASONIC BLVD SAINT CLAIR SHORES, MI 48082 and the phone number is (586) 296-6213.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.