MUNSON HEALTHCARE CHARLEVOIX PRIMARY CARE
NPI 1558904623
Clinic/Center - Rural Health in Charlevoix, MI

NPI Status: Active since October 22, 2019

Contact Information

14734 PARK AVE
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-6554
Fax: (231) 547-1179

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 23D0682121
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-28-2026

About MUNSON HEALTHCARE CHARLEVOIX PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Munson Healthcare Charlevoix Primary Care, a primary care provider established in Charlevoix, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1558904623 assigned on October 2019. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Munson Healthcare Charlevoix Primary Care. The authorized official of this NPI record is Mark Helper (Vp And Cfo)

NPI
1558904623
Provider Legal Name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Other Organization Name
MUNSON HEALTHCARE CHARLEVOIX PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14734 PARK AVE CHARLEVOIX, MI 49720
Location Phone
(231) 547-6554
Location Fax
(231) 547-1179
Mailing Address
14734 PARK AVE CHARLEVOIX, MI 49720
Mailing Phone
(231) 547-6554
Mailing Fax
(231) 547-1179
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-22-2019
Last Update Date
01-02-2020
Code Navigator

A primary care provider (PCP) like Munson Healthcare Charlevoix Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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

MARK HELPER

Authorized Official Title
VP AND CFO
Authorized Official Phone
(231) 935-6512

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
23D0682121
Facility Type
Physician Office
Certificate Effective Date
November 29, 2024
Certificate Expiration Date
November 28, 2026
Laboratory Director
BENJAMIN EDWARDS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Munson Healthcare Charlevoix Primary Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for MUNSON HEALTHCARE CHARLEVOIX PRIMARY CARE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1558904623, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 5 → 10 → 1 9 → 18 → 9 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 8 + 0 + 8 + 6 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1558904623.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pediatrics
14734 PARK AVE
CHARLEVOIX, MI 49720
Family Medicine
14734 PARK AVE
CHARLEVOIX, MI 49720
Pediatrics
14734 PARK AVE
CHARLEVOIX, MI 49720
Family Medicine
14734 PARK AVE
CHARLEVOIX, MI 49720
Pediatrics
14734 PARK AVE
CHARLEVOIX, MI 49720
Nurse Anesthetist, Certified Registered
14734 PARK AVE
CHARLEVOIX, MI 49720
Emergency Medicine
14734 PARK AVE
CHARLEVOIX, MI 49720
Pediatrics
14734 PARK AVE
CHARLEVOIX, MI 49720
Specialist
14734 PARK AVE
CHARLEVOIX, MI 49720
Family Medicine
14734 PARK AVE
CHARLEVOIX, MI 49720
Physician Assistant (Medical)
14734 PARK AVE
CHARLEVOIX, MI 49720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558904623, enumerated as an "organization" on October 22, 2019.

The provider is located at 14734 PARK AVE CHARLEVOIX, MI 49720 and the phone number is (231) 547-6554.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.