CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC
NPI 1750891396
Clinic/Center - Methadone in Plymouth, MA

NPI Status: Active since October 10, 2017

Contact Information

116 LONG POND RD STE 2-3
PLYMOUTH, MA
ZIP 02360
Phone: (774) 773-3905
Fax: (774) 773-9623

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  • Organization
  • Clinic/Center
  • Methadone

About CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC

This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Plymouth, Pc, a provider established in Plymouth, Massachusetts operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1750891396 assigned on October 2017. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Rupert Mccormac Iv Md (President)

NPI
1750891396
Provider Name
CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC
Entity Type
Organization
Location Address
116 LONG POND RD STE 2-3 PLYMOUTH, MA 02360
Location Phone
(774) 773-3905
Location Fax
(774) 773-9623
Mailing Address
55 BEATTIE PL STE 810 GREENVILLE, SC 29601
Mailing Phone
(864) 527-3145
Mailing Fax
(774) 773-9623
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2017
Last Update Date
03-28-2018
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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)
1251S00000XAgencies

Community/Behavioral 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

RUPERT MCCORMAC IV MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 527-3145

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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.
1750891396
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001692318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 2 + 3 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750891396 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750891396, enumerated as an "organization" on October 10, 2017.

The provider is located at 116 LONG POND RD STE 2-3 PLYMOUTH, MA 02360 and the phone number is (774) 773-3905.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.