NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
NPI 1417721689
Clinic/Center - Radiology, Mobile Mammography in Jonesboro, AR

NPI Status: Active since November 08, 2023

Contact Information

4800 E JOHNSON AVE
JONESBORO, AR
ZIP 72405
Phone: (870) 936-8000

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Radiology, Mobile Mammography

About NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

This page provides the complete NPI Profile along with additional information for Northeast Arkansas Clinic Charitable Foundation, Inc., a provider established in Jonesboro, Arkansas operating as a Clinic/center, focusing in radiology, mobile mammography . The healthcare provider is registered in the NPI registry with number 1417721689 assigned on November 2023. The practitioner's primary taxonomy code is 261QR0207X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Gregory M Duckett Sr. Vp/clo (Sr Vp/chief Legal Officer)

NPI: 1417721689
Provider Name: NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
Entity Type: Organization
Location Address: 4800 E JOHNSON AVE JONESBORO, AR 72405
Location Phone: (870) 936-8000
Mailing Address: 350 N HUMPHREYS BLVD MEMPHIS, TN 38120
Mailing Phone: (901) 227-5233
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-08-2023
Last Update Date: 11-08-2023
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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 Radiology, Mobile Mammography
Taxonomy Code: 261QR0207X
Type: Ambulatory Health Care Facilities

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
1	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center Health Service
2	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center Multi-Specialty
3	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center Primary Care
4	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant Medical

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: MR. GREGORY M DUCKETT SR. VP/CLO
Authorized Official Title: SR VP/CHIEF LEGAL OFFICER
Authorized Official Phone: (901) 227-5233

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 1417721689, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 1 → 2 7 → 14 → 5 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 4 + 2 + 2 + 6 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1417721689.