PREVENTION &MANAGEMENT OUTREACH CLINIC INC.
NPI 1619122504
Preferred Provider Organization in Columbia, MD
NPI Status: Active since November 19, 2008
Contact Information
5941 MILLRACE CT UNIT D103
COLUMBIA, MD
ZIP 21045
Phone: (410) 312-3126
- Organization
- Preferred Provider Organization
About PREVENTION &MANAGEMENT OUTREACH CLINIC INC.
This page provides the complete NPI Profile along with additional information for Prevention &management Outreach Clinic Inc., a provider established in Columbia, Maryland operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1619122504 assigned on November 2008. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Prevention & Management Outreach Clinic Inc.. The authorized official of this NPI record is Ms. Lisa Bush (President/ceo)
- NPI
- 1619122504
- Provider Legal Name
- PREVENTION &MANAGEMENT OUTREACH CLINIC INC.
- Other Organization Name
- PREVENTION & MANAGEMENT OUTREACH CLINIC INC.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 5941 MILLRACE CT UNIT D103 COLUMBIA, MD 21045
- Location Phone
- (410) 312-3126
- Mailing Address
- 5941 MILLRACE CT UNIT D103 COLUMBIA, MD 21045
- Mailing Phone
- (410) 312-3126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-19-2008
- Last Update Date
- 11-19-2008
- Code Navigator
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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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) |
|---|---|---|---|---|
| 1 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | (MD) |
| 2 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | 0000000000 (MD) |
| 3 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | 30500000X (MD) |
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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 1619122504, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619122504, enumerated as an "organization" on November 19, 2008.
The provider is located at 5941 MILLRACE CT UNIT D103 COLUMBIA, MD 21045 and the phone number is (410) 312-3126.
Preferred Provider Organization with taxonomy code 305R00000X.
