MINERS MEDICAL
NPI 1467759399
Clinic/Center - Methadone in Ashley, PA

NPI Status: Active since February 11, 2011

Contact Information

43 S MAIN ST
ASHLEY, PA
ZIP 18706
Phone: (570) 822-5145
Fax: (570) 822-5147

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  • Organization
  • Clinic/Center
  • Methadone
  • CLIA Number: 39D2125330
  • CLIA Cert. Type: Other - ALCOHOL AND DRUG TREATMEN
  • CLIA Exp. Date: 02-05-2027

About MINERS MEDICAL

This page provides the complete NPI Profile along with additional information for Miners Medical, a provider established in Ashley, Pennsylvania operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1467759399 assigned on February 2011. The practitioner's primary taxonomy code is 261QM2800X with license number 407058 (PA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Miners Medical. The authorized official of this NPI record is Robyn Tanis (Executive Director Of Contract Mgmt)

NPI
1467759399
Provider Legal Name
PENNSYLVANIA CARE, LLC
Other Organization Name
MINERS MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
43 S MAIN ST ASHLEY, PA 18706
Location Phone
(570) 822-5145
Location Fax
(570) 822-5147
Mailing Address
1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
Mailing Phone
(856) 429-6111
Mailing Fax
(570) 822-5147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2011
Last Update Date
07-18-2022
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Location Map

Secondary Locations

  • 90 E Union St Ste 3
    Wilkes Barre, PA 18701
    (570) 822-5145

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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
407058
License State
PA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

ROBYN TANIS

Authorized Official Title
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Authorized Official Phone
(856) 533-8762

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 1,128 times for 33 patients

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
39D2125330
Facility Type
Other - ALCOHOL AND DRUG TREATMEN
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
DR. DANIEL T. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Miners Medical 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.

Reviews for MINERS MEDICAL

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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 1467759399, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 4 + 5 + 1 + 8 + 3 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1467759399.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
43 S MAIN ST, SUITE 2
ASHLEY, PA 18706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467759399, enumerated as an "organization" on February 11, 2011.

The provider is located at 43 S MAIN ST ASHLEY, PA 18706 and the phone number is (570) 822-5145.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.