MED 1ST WALKIN CLINIC AND PRIMARY CARE
NPI 1912628256
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cumberland, MD

NPI Status: Active since September 06, 2022

Contact Information

15 S CENTRE ST
CUMBERLAND, MD
ZIP 21502
Phone: (240) 362-7279

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 21D2266223
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 08-07-2026

About MED 1ST WALKIN CLINIC AND PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Med 1st Walkin Clinic And Primary Care, a provider established in Cumberland, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1912628256 assigned on September 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Med 1st Walkin Clinic And Primary Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Crystal Walls Fnp (Owner)

NPI
1912628256
Provider Name
MED 1ST WALKIN CLINIC AND PRIMARY CARE
Entity Type
Organization
Location Address
15 S CENTRE ST CUMBERLAND, MD 21502
Location Phone
(240) 362-7279
Mailing Address
15 S CENTRE ST CUMBERLAND, MD 21502
Mailing Phone
(240) 362-7279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2022
Last Update Date
09-06-2022
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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

CRYSTAL WALLS FNP

Authorized Official Title
OWNER
Authorized Official Phone
(240) 362-7279

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
21D2266223
Facility Type
Practitioner Other
Certificate Effective Date
August 08, 2024
Certificate Expiration Date
August 07, 2026
Laboratory Director
JEREMY HUNT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Med 1st Walkin Clinic And Primary Care 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 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 1912628256, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 1 → 2 6 → 12 → 3 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 + 9 + 2 + 2 + 1 + 2 + 2 + 1 + 6 + 2 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1912628256.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
15 S CENTRE ST
CUMBERLAND, MD 21502
Family Medicine
15 S CENTRE ST
CUMBERLAND, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912628256, enumerated as an "organization" on September 06, 2022.

The provider is located at 15 S CENTRE ST CUMBERLAND, MD 21502 and the phone number is (240) 362-7279.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).