ST. MADRON MEDICAL CLINIC
NPI 1285068791
Specialist in Roland, OK
NPI Status: Active since September 03, 2013
Contact Information
205 E. RAY FINE BLVD ST. 6
ROLAND, OK
ZIP 74954
Phone: (918) 503-6235
Fax: (918) 398-0637
- Organization
- Specialist
About ST. MADRON MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for St. Madron Medical Clinic, a provider established in Roland, Oklahoma operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1285068791 assigned on September 2013. The practitioner's primary taxonomy code is 174400000X with license number 17754 (OK). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Wellness Clinic Of Roland Inc. The authorized official of this NPI record is Darren Brewer (Owner)
- NPI
- 1285068791
- Provider Legal Name
- ST. MADRON MEDICAL CLINIC
- Other Organization Name
- WELLNESS CLINIC OF ROLAND INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 205 E. RAY FINE BLVD ST. 6 ROLAND, OK 74954
- Location Phone
- (918) 503-6235
- Location Fax
- (918) 398-0637
- Mailing Address
- 303 TOWSON AVE. FORT SMITH, AR 72901
- Mailing Phone
- (918) 503-6235
- Mailing Fax
- (918) 398-0637
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-03-2013
- Last Update Date
- 08-06-2015
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 17754
- License State
- OK
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for ST. MADRON MEDICAL CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 5 | 0 | 6 | 8 | 7 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 0 | 6 | 16 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 0 + 6 + 1 + 6 + 7 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1285068791 is valid because the calculated check digit 1 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 1285068791, enumerated in the NPI registry as an "organization" on September 03, 2013
The provider is located at 205 E. Ray Fine Blvd St. 6 Roland, Ok 74954 and the phone number is (918) 503-6235
This medical organization specializes in Specialist with taxonomy code 174400000X
This NPI record was last updated on September 03, 2013. 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.