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

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  • 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
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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).

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)
1101YP1600XBehavioral Health & Social Service Providers

Counselor
Pastoral

 
2251B00000XAgencies

Case Management

 
3261QF0050XAmbulatory Health Care Facilities

Clinic/Center
Family Planning, Non-Surgical

 
4261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
5261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
6261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
7261QP2400XAmbulatory Health Care Facilities

Clinic/Center
Prison Health

 
8261QV0200XAmbulatory Health Care Facilities

Clinic/Center
VA

 

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

CAREMLA J BANKS

Authorized Official Title
OWNER
Authorized Official Phone
(623) 300-6457

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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.
1245011006
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228501200
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 = 66

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
1821305798RANCHO SANTA FE DENTAL GROUP
Organization
Dentist (General Practice)13048 W RANCHO SANTA FE BLVD 114
AVONDALE, AZ 85392
(623) 536-3377
1326554106APPLE TREE DENTISTRY, LLC
Organization
Clinic/Center (Dental)13048 W RANCHO SANTA FE BLVD 114
AVONDALE, AZ 85392
(623) 536-3377
1639775927CHOW 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.