HEALTHREACH COMMUNITY CLINIC
NPI 1417131319
Voluntary or Charitable in Mooresville, NC
NPI Status: Active since December 27, 2007
Contact Information
400 E STATESVILLE AVE
SUITE 300
MOORESVILLE, NC
ZIP 28115
Phone: (704) 663-1992
Fax: (704) 663-2073
- Organization
- Voluntary or Charitable
- CLIA Number: 34D2062993
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 07-24-2027
About HEALTHREACH COMMUNITY CLINIC
This page provides the complete NPI Profile along with additional information for Healthreach Community Clinic, a provider established in Mooresville, North Carolina operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1417131319 assigned on December 2007. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is Mooresville South Iredell Health Assistance Clinic. The authorized official of this NPI record is Mr. Charles Rory Crawford (Executive Director)
- NPI
- 1417131319
- Provider Legal Name
- HEALTHREACH COMMUNITY CLINIC
- Other Organization Name
- MOORESVILLE SOUTH IREDELL HEALTH ASSISTANCE CLINIC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 400 E STATESVILLE AVE SUITE 300 MOORESVILLE, NC 28115
- Location Phone
- (704) 663-1992
- Location Fax
- (704) 663-2073
- Mailing Address
- PO BOX 1265 400 E STATESVILLE AVE SUITE 300 MOORESVILLE, NC 28115
- Mailing Phone
- (704) 663-1992
- Mailing Fax
- (704) 663-2073
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 06-26-2014
- 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
Voluntary or Charitable
- Taxonomy Code
- 251V00000X
- Type
- Agencies
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
- 34D2062993
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 25, 2025
- Certificate Expiration Date
- July 24, 2027
- Laboratory Director
- RORY CRAWFORD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healthreach Community Clinic 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 1417131319, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417131319, enumerated as an "organization" on December 27, 2007.
The provider is located at 400 E STATESVILLE AVE SUITE 300 MOORESVILLE, NC 28115 and the phone number is (704) 663-1992.
Voluntary or Charitable with taxonomy code 251V00000X.
