MATTHEWS FREE MEDICAL CLINIC
NPI 1578851960
Clinic/Center in Matthews, NC

NPI Status: Active since July 19, 2011

Contact Information

113 N AMES ST
MATTHEWS, NC
ZIP 28105
Phone: (704) 841-8882

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  • Organization
  • Clinic/Center
  • CLIA Number: 34D1021755
  • CLIA Cert. Type: Other - FREE CLINIC
  • CLIA Exp. Date: 08-19-2026

About MATTHEWS FREE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Matthews Free Medical Clinic, a provider established in Matthews, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1578851960 assigned on July 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Jacqueline L Olin Pharmd (Clinical Pharmacist)

NPI
1578851960
Provider Name
MATTHEWS FREE MEDICAL CLINIC
Entity Type
Organization
Location Address
113 N AMES ST MATTHEWS, NC 28105
Location Phone
(704) 841-8882
Mailing Address
113 N AMES ST MATTHEWS, NC 28105
Mailing Phone
(704) 841-8882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2011
Last Update Date
07-19-2011
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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

DR. JACQUELINE L OLIN PHARMD

Authorized Official Title
CLINICAL PHARMACIST
Authorized Official Phone
(704) 841-8882

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
34D1021755
Facility Type
Other - FREE CLINIC
Certificate Effective Date
August 20, 2024
Certificate Expiration Date
August 19, 2026
Laboratory Director
LOU A. MC ADAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Matthews Free Medical Clinic 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.

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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 1578851960, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 8 → 16 → 7 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 6 + 5 + 2 + 9 + 1 + 2 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1578851960.

Other Providers at the Same Location


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

Family Medicine
113 N AMES ST
MATTHEWS, NC 28105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578851960, enumerated as an "organization" on July 19, 2011.

The provider is located at 113 N AMES ST MATTHEWS, NC 28105 and the phone number is (704) 841-8882.

Clinic/Center with taxonomy code 261Q00000X.