MOOSABEC MEDICAL
NPI 1497459069
Clinic/Center in Jonesport, ME

NPI Status: Active since March 28, 2023

Contact Information

298 MAIN ST
JONESPORT, ME
ZIP 04649
Phone: (207) 598-9648
Fax: (207) 497-4050

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  • Organization
  • Clinic/Center

About MOOSABEC MEDICAL

This page provides the complete NPI Profile along with additional information for Moosabec Medical, a provider established in Jonesport, Maine operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1497459069 assigned on March 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Moosabec Medical. The authorized official of this NPI record is Mrs. Breanna Libby Fnp-bc (Owner/nurse Practitioner)

NPI
1497459069
Provider Legal Name
BREANNA LIBBY FNP-BC
Other Organization Name
MOOSABEC MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
298 MAIN ST JONESPORT, ME 04649
Location Phone
(207) 598-9648
Location Fax
(207) 497-4050
Mailing Address
298 MAIN ST JONESPORT, ME 04649
Mailing Phone
(207) 598-9648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2023
Last Update Date
12-04-2023
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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

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).

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)
1261QI0500XAmbulatory Health Care Facilities

Clinic/Center
Infusion Therapy

 

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

MRS. BREANNA LIBBY FNP-BC

Authorized Official Title
OWNER/NURSE PRACTITIONER
Authorized Official Phone
(207) 598-9648

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497459069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241878518012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 5 + 1 + 8 + 0 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1497459069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

JONESPORT-BEALS FAMILY CLINIC

Internal Medicine

(Infectious Disease)

298 MAIN ST
JONESPORT, ME
ZIP 04649

(207) 255-6831

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497459069, enumerated as an "organization" on March 28, 2023.

The provider is located at 298 MAIN ST JONESPORT, ME 04649 and the phone number is (207) 598-9648.

Clinic/Center with taxonomy code 261Q00000X.