ACTIVE SPINE & REHAB, LLC
NPI 1427609429
Clinic/Center - Multi-Specialty in Glen Burnie, MD

NPI Status: Active since September 23, 2019

Contact Information

802 CROMWELL PARK DR
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 970-8190
Fax: (410) 313-8314

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About ACTIVE SPINE & REHAB, LLC

This page provides the complete NPI Profile along with additional information for Active Spine & Rehab, Llc, a provider established in Glen Burnie, Maryland operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427609429 assigned on September 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Patrick Murray (Director Of Revenue Cycle)

NPI
1427609429
Provider Name
ACTIVE SPINE & REHAB, LLC
Entity Type
Organization
Location Address
802 CROMWELL PARK DR GLEN BURNIE, MD 21061
Location Phone
(410) 970-8190
Location Fax
(410) 313-8314
Mailing Address
10753 BIRMINGHAM WAY WOODSTOCK, MD 21163
Mailing Phone
(410) 970-8190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2019
Last Update Date
09-23-2019
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

PATRICK MURRAY

Authorized Official Title
DIRECTOR OF REVENUE CYCLE
Authorized Official Phone
(410) 970-8190

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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.
1427609429
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471201844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 2 + 0 + 1 + 8 + 4 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1427609429 is valid because the calculated check digit 9 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 1427609429, enumerated in the NPI registry as an "organization" on September 23, 2019

The provider is located at 802 Cromwell Park Dr Glen Burnie, Md 21061 and the phone number is (410) 970-8190

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on September 23, 2019. 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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