WATAUGA RECOVERY CENTER,PC
NPI 1508305087
Family Medicine - Addiction Medicine in Hardeeville, SC

NPI Status: Active since February 17, 2017

Contact Information

21563 WHYTE HARDEE BLVD
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 547-4733
Fax: (843) 547-4734

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  • Organization
  • Family Medicine
  • Addiction Medicine

About WATAUGA RECOVERY CENTER,PC

This page provides the complete NPI Profile along with additional information for Watauga Recovery Center,pc, a provider established in Hardeeville, South Carolina operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1508305087 assigned on February 2017. The practitioner's primary taxonomy code is 207QA0401X with license number 40502 (SC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ralph T Reach M.d. (President)

NPI
1508305087
Provider Name
WATAUGA RECOVERY CENTER,PC
Entity Type
Organization
Location Address
21563 WHYTE HARDEE BLVD HARDEEVILLE, SC 29927
Location Phone
(843) 547-4733
Location Fax
(843) 547-4734
Mailing Address
3114 BROWNS MILL RD JOHNSON CITY, TN 37604
Mailing Phone
(423) 631-0432
Mailing Fax
(843) 547-4734
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2017
Last Update Date
02-17-2017
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
40502
License State
SC
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. RALPH T REACH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(423) 631-0432

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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.
1508305087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25086010016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 6 + 0 + 1 + 0 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1508305087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508305087, enumerated as an "organization" on February 17, 2017.

The provider is located at 21563 WHYTE HARDEE BLVD HARDEEVILLE, SC 29927 and the phone number is (843) 547-4733.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.