NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED
NPI 1609168657
Preventive Medicine - Occupational Medicine in Kankakee, IL

NPI Status: Active since May 10, 2011

Contact Information

183 N SCHUYLER AVE
KANKAKEE, IL
ZIP 60901
Phone: (815) 304-4305
Fax: (815) 304-4306

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  • Organization
  • Preventive Medicine
  • Occupational Medicine

About NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED

This page provides the complete NPI Profile along with additional information for New Life Pentecostal Medical Clinic For The Uninsured, a provider established in Kankakee, Illinois operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1609168657 assigned on May 2011. The practitioner's primary taxonomy code is 2083X0100X with license number 036.124389 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. New Life Pentecostal Medical Clinic For The Uninsured operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as New Life Pentecostal Medical Clinic For The Uninsured. The authorized official of this NPI record is Omar Garcia M.d. (Medical Director)

NPI
1609168657
Provider Legal Name
NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED INC
Other Organization Name
NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
183 N SCHUYLER AVE KANKAKEE, IL 60901
Location Phone
(815) 304-4305
Location Fax
(815) 304-4306
Mailing Address
183 N SCHUYLER AVE KANKAKEE, IL 60901
Mailing Phone
(815) 304-4305
Mailing Fax
(815) 304-4306
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2011
Last Update Date
05-17-2012
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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

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
License No.
036.124389
License State
IL
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

OMAR GARCIA M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(815) 304-4305

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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 1609168657, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 0 → 0 1 → 2 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 2 + 6 + 1 + 6 + 6 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1609168657.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609168657, enumerated as an "organization" on May 10, 2011.

The provider is located at 183 N SCHUYLER AVE KANKAKEE, IL 60901 and the phone number is (815) 304-4305.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.