MADE WHOLE MEDICAL CENTER LLC
NPI 1245011006
Clinic/Center in Avondale, AZ
NPI Status: Active since October 09, 2023
Contact Information
13048 W RANCHO SANTA FE BLVD
AVONDALE, AZ
ZIP 85392
Phone: (623) 300-6457
Fax: (855) 300-5330
- Organization
- Clinic/Center
About MADE WHOLE MEDICAL CENTER LLC
This page provides the complete NPI Profile along with additional information for Made Whole Medical Center Llc, a provider established in Avondale, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245011006 assigned on October 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Made Whole Medical Center Llc. The authorized official of this NPI record is Caremla J Banks (Owner)
- NPI
- 1245011006
- Provider Legal Name
- MADE WHOLE MEDICAL CENTER LLC
- Other Organization Name
- MADE WHOLE MEDICAL CENTER LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 13048 W RANCHO SANTA FE BLVD AVONDALE, AZ 85392
- Location Phone
- (623) 300-6457
- Location Fax
- (855) 300-5330
- Mailing Address
- 13048 W RANCHO SANTA FE BLVD AVONDALE, AZ 85392
- Mailing Phone
- (623) 300-6457
- Mailing Fax
- (855) 300-5330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-09-2023
- Last Update Date
- 10-21-2023
- Code Navigator
Location Map
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).
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) |
---|---|---|---|---|
1 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | |
2 | 251B00000X | Agencies | Case Management | |
3 | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | |
4 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
5 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
6 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
7 | 261QP2400X | Ambulatory Health Care Facilities | Clinic/Center | |
8 | 261QV0200X | Ambulatory Health Care Facilities | Clinic/Center |
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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. | |||||||||
1 | 2 | 4 | 5 | 0 | 1 | 1 | 0 | 0 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 0 | 1 | 2 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 0 + 1 + 2 + 0 + 0 + 24 = 44 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 44 = 6 | 6 |
The NPI number 1245011006 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1821305798 | RANCHO SANTA FE DENTAL GROUP Organization | Dentist (General Practice) | 13048 W RANCHO SANTA FE BLVD 114 AVONDALE, AZ 85392 (623) 536-3377 |
1326554106 | APPLE TREE DENTISTRY, LLC Organization | Clinic/Center (Dental) | 13048 W RANCHO SANTA FE BLVD 114 AVONDALE, AZ 85392 (623) 536-3377 |
1639775927 | CHOW COUNSELING FAMILY SERVICES Organization | Counselor (Professional) | 13048 W RANCHO SANTA FE BLVD AVONDALE, AZ 85392 (623) 266-2469 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245011006, enumerated in the NPI registry as an "organization" on October 09, 2023
The provider is located at 13048 W Rancho Santa Fe Blvd Avondale, Az 85392 and the phone number is (623) 300-6457
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on October 09, 2023. 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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