PROHEALTH CLINIC
NPI 1679156632
Clinic/Center - Primary Care in Bensalem, PA

NPI Status: Active since April 28, 2021

Contact Information

2846 KNIGHTS RD STE B
BENSALEM, PA
ZIP 19020
Phone: (215) 244-9894
Fax: (215) 244-9896

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 39D2271618
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About PROHEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Prohealth Clinic, a primary care provider established in Bensalem, Pennsylvania operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1679156632 assigned on April 2021. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Sibi Mathew (Owner)

NPI
1679156632
Provider Name
PROHEALTH CLINIC
Entity Type
Organization
Location Address
2846 KNIGHTS RD STE B BENSALEM, PA 19020
Location Phone
(215) 244-9894
Location Fax
(215) 244-9896
Mailing Address
2846 KNIGHTS RD STE B BENSALEM, PA 19020
Mailing Phone
(215) 244-9894
Mailing Fax
(215) 244-9896
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2021
Last Update Date
08-21-2024
Code Navigator

A primary care provider (PCP) like Prohealth Clinic 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

Secondary Locations

  • 9715 Jeanes St
    Philadelphia, PA 19115
    (201) 417-3050

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

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

MRS. SIBI MATHEW

Authorized Official Title
OWNER
Authorized Official Phone
(201) 417-3050

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
39D2271618
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
DR. BLOSSOM JOY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prohealth 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 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.
1679156632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149251266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 2 + 5 + 1 + 2 + 6 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1679156632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

SIBI MATHEW MSN, FNP

Nurse Practitioner

(Family)

2846 KNIGHTS RD STE B
BENSALEM, PA
ZIP 19020

(215) 244-9894

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679156632, enumerated as an "organization" on April 28, 2021.

The provider is located at 2846 KNIGHTS RD STE B BENSALEM, PA 19020 and the phone number is (215) 244-9894.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.