PALMER MOBILE MEDICAL, LLC
NPI 1174156905
Exclusive Provider Organization in Venice, FL

NPI Status: Active since February 20, 2020

Contact Information

10146 SALT AIRE CIR
VENICE, FL
ZIP 34292
Phone: (330) 415-4473

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About PALMER MOBILE MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Palmer Mobile Medical, Llc, a provider established in Venice, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1174156905 assigned on February 2020. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Samuel Copeland Palmer Aprn (Managing Member)

NPI
1174156905
Provider Name
PALMER MOBILE MEDICAL, LLC
Entity Type
Organization
Location Address
10146 SALT AIRE CIR VENICE, FL 34292
Location Phone
(330) 415-4473
Mailing Address
10146 SALT AIRE CIR VENICE, FL 34292
Mailing Phone
(330) 415-4473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2020
Last Update Date
02-20-2020
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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. SAMUEL COPELAND PALMER APRN

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(330) 415-4473

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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.
1174156905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144251290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 5 + 1 + 2 + 9 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1174156905 is valid because the calculated check digit 5 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 1174156905, enumerated in the NPI registry as an "organization" on February 20, 2020

The provider is located at 10146 Salt Aire Cir Venice, Fl 34292 and the phone number is (330) 415-4473

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

This NPI record was last updated on February 20, 2020. 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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