BLUE WATER MEDICAL PLLC
NPI 1336409192
Clinic/Center in Port Huron, MI
NPI Status: Active since May 25, 2012
Contact Information
511 FORT ST
SUITE 102
PORT HURON, MI
ZIP 48060
Phone: (810) 479-4769
Fax: (888) 414-4545
- Organization
- Clinic/Center
About BLUE WATER MEDICAL PLLC
This page provides the complete NPI Profile along with additional information for Blue Water Medical Pllc, a provider established in Port Huron, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336409192 assigned on May 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 4301093347 (MI). 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 Dr. Marcus K. Free M.d. (President/member)
- NPI
- 1336409192
- Provider Name
- BLUE WATER MEDICAL PLLC
- Entity Type
- Organization
- Location Address
- 511 FORT ST SUITE 102 PORT HURON, MI 48060
- Location Phone
- (810) 479-4769
- Location Fax
- (888) 414-4545
- Mailing Address
- 511 FORT ST SUITE 102 PORT HURON, MI 48060
- Mailing Phone
- (810) 479-4769
- Mailing Fax
- (888) 414-4545
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-25-2012
- Last Update Date
- 05-25-2012
- 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
- License No.
- 4301093347
- License State
- MI
- 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).
Reviews for BLUE WATER MEDICAL PLLC
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 | 3 | 3 | 6 | 4 | 0 | 9 | 1 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 0 | 18 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 0 + 1 + 8 + 1 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1336409192 is valid because the calculated check digit 2 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 1336409192, enumerated in the NPI registry as an "organization" on May 25, 2012
The provider is located at 511 Fort St Suite 102 Port Huron, Mi 48060 and the phone number is (810) 479-4769
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on May 25, 2012. 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.