PROSPECT CCMC, LLC
NPI 1477113249
Clinic/Center in Collingdale, PA

NPI Status: Active since June 14, 2019

Contact Information

800 MACDADE BLVD
COLLINGDALE, PA
ZIP 19023
Phone: (610) 915-3496

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  • Organization
  • Clinic/Center

About PROSPECT CCMC, LLC

This page provides the complete NPI Profile along with additional information for Prospect Ccmc, Llc, a provider established in Collingdale, Pennsylvania operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1477113249 assigned on June 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Prospect Ccmc, Llc. The authorized official of this NPI record is Robert Jon Elders (Secretary)

NPI
1477113249
Provider Legal Name
PROSPECT CCMC, LLC
Other Organization Name
PROSPECT CCMC, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
800 MACDADE BLVD COLLINGDALE, PA 19023
Location Phone
(610) 915-3496
Mailing Address
800 MACDADE BLVD COLLINGDALE, PA 19023
Mailing Phone
(610) 915-3496
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2019
Last Update Date
01-15-2021
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ROBERT JON ELDERS

Authorized Official Title
SECRETARY
Authorized Official Phone
(714) 788-1249

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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 1477113249, 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
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 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 7 → 14 → 5 1 → 2 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 2 + 1 + 6 + 2 + 8 + 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 1477113249.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Social Worker
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker (School)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (Mental Health)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (Mental Health)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker (School)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker (School)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Clinic/Center
800 MACDADE BLVD
COLLINGDALE, PA 19023
Social Worker (School)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (School)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (Mental Health)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (Mental Health)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Counselor (Mental Health)
800 MACDADE BLVD
COLLINGDALE, PA 19023
Clinic/Center
800 MACDADE BLVD
COLLINGDALE, PA 19023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477113249, enumerated as an "organization" on June 14, 2019.

The provider is located at 800 MACDADE BLVD COLLINGDALE, PA 19023 and the phone number is (610) 915-3496.

Clinic/Center with taxonomy code 261Q00000X.