EASTERN CLINIC PLLC
NPI 1942675426
Clinic/Center - Methadone in Grand Rapids, MI

NPI Status: Active since December 09, 2015

Contact Information

1555 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507
Phone: (616) 243-6262
Fax: (616) 243-6969

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  • Organization
  • Clinic/Center
  • Methadone

About EASTERN CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Eastern Clinic Pllc, a provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1942675426 assigned on December 2015. The practitioner's primary taxonomy code is 261QM2800X with license number SA0410165 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Daryl Smith (Program Director)

NPI
1942675426
Provider Name
EASTERN CLINIC PLLC
Entity Type
Organization
Location Address
1555 EASTERN AVE SE GRAND RAPIDS, MI 49507
Location Phone
(616) 243-6262
Location Fax
(616) 243-6969
Mailing Address
1555 EASTERN AVE SE GRAND RAPIDS, MI 49507
Mailing Phone
(616) 243-6262
Mailing Fax
(616) 243-6969
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2015
Last Update Date
12-09-2015
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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
License No.
SA0410165
License State
MI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

MR. DARYL SMITH

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(616) 243-6262

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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 1942675426, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
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 4 → 8 6 → 12 → 3 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 1 + 2 + 7 + 1 + 0 + 4 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1942675426.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942675426, enumerated as an "organization" on December 09, 2015.

The provider is located at 1555 EASTERN AVE SE GRAND RAPIDS, MI 49507 and the phone number is (616) 243-6262.

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