PINELAND MH/MR/SA CSB
NPI 1760658587
Clinic/Center in Vidalia, GA

NPI Status: Active since May 01, 2008

Contact Information

901 NORTH ST W
VIDALIA, GA
ZIP 30474
Phone: (912) 537-9316
Fax: (912) 537-9915

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  • Organization
  • Clinic/Center

About PINELAND MH/MR/SA CSB

This page provides the complete NPI Profile along with additional information for Pineland Mh/mr/sa Csb, a provider established in Vidalia, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1760658587 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number LPN068072 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is June A Dipolito (Executive Director)

NPI
1760658587
Provider Name
PINELAND MH/MR/SA CSB
Entity Type
Organization
Location Address
901 NORTH ST W VIDALIA, GA 30474
Location Phone
(912) 537-9316
Location Fax
(912) 537-9915
Mailing Address
5 W ALTMAN ST STATESBORO, GA 30458
Mailing Phone
(912) 764-6906
Mailing Fax
(912) 537-9915
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2008
Last Update Date
05-01-2008
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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
License No.
LPN068072
License State
GA
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

JUNE A DIPOLITO

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(912) 764-6906

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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 1760658587, 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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 6 + 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 1760658587.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760658587, enumerated as an "organization" on May 01, 2008.

The provider is located at 901 NORTH ST W VIDALIA, GA 30474 and the phone number is (912) 537-9316.

Clinic/Center with taxonomy code 261Q00000X.