SUPAM LLC
NPI 1104118884
Clinic/Center in Hobbs, NM

NPI Status: Active since May 12, 2011

Contact Information

5419 NORTH LOVINGTON HIGHWAY
SUITE 7
HOBBS, NM
ZIP 88240
Phone: (575) 392-3903
Fax: (575) 392-3911

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  • Organization
  • Clinic/Center

About SUPAM LLC

This page provides the complete NPI Profile along with additional information for Supam Llc, a provider established in Hobbs, New Mexico operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104118884 assigned on May 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mukeshbhai B Patel Md (Owner)

NPI
1104118884
Provider Name
SUPAM LLC
Entity Type
Organization
Location Address
5419 NORTH LOVINGTON HIGHWAY SUITE 7 HOBBS, NM 88240
Location Phone
(575) 392-3903
Location Fax
(575) 392-3911
Mailing Address
5419 N LOVINGTON HWY SUITE 7 HOBBS, NM 88240
Mailing Phone
(575) 392-3903
Mailing Fax
(575) 392-3911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2011
Last Update Date
03-01-2012
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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
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

MUKESHBHAI B PATEL MD

Authorized Official Title
OWNER
Authorized Official Phone
(732) 713-2824

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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.
1104118884
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21042116816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 1 + 1 + 6 + 8 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1104118884 is valid because the calculated check digit 4 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 1104118884, enumerated in the NPI registry as an "organization" on May 12, 2011

The provider is located at 5419 North Lovington Highway Suite 7 Hobbs, Nm 88240 and the phone number is (575) 392-3903

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on May 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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