PROACTIVE MD E. CHICAGO HEALTH CENTER
NPI 1528598380
Clinic/Center - Primary Care in East Chicago, IN
NPI Status: Active since June 14, 2017
Contact Information
1401 144TH ST
EAST CHICAGO, IN
ZIP 46312
Phone: (844) 458-2800
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 15D2107602
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 01-18-2026
About PROACTIVE MD E. CHICAGO HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Proactive Md E. Chicago Health Center, a primary care provider established in East Chicago, Indiana operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1528598380 assigned on June 2017. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Proactive Md E. Chicago Health Center. The authorized official of this NPI record is Jan Hopkins (Assoc. Ops Mgr)
- NPI
- 1528598380
- Provider Legal Name
- PROACTIVE MSO, LLC
- Other Organization Name
- PROACTIVE MD E. CHICAGO HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1401 144TH ST EAST CHICAGO, IN 46312
- Location Phone
- (844) 458-2800
- Mailing Address
- 124 ALLAWOOD CT SIMPSONVILLE, SC 29681
- Mailing Phone
- (864) 501-0751
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2017
- Last Update Date
- 03-25-2022
- Code Navigator
A primary care provider (PCP) like Proactive Md E. Chicago Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2107602
- Facility Type
- Practitioner Other
- Certificate Effective Date
- January 19, 2024
- Certificate Expiration Date
- January 18, 2026
- Laboratory Director
- VANESSA SIVERIO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Proactive Md E. Chicago Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 2 | 8 | 5 | 9 | 8 | 3 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 10 | 9 | 16 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 0 + 9 + 1 + 6 + 3 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528598380 is valid because the calculated check digit 0 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 1528598380, enumerated in the NPI registry as an "organization" on June 14, 2017
The provider is located at 1401 144th St East Chicago, In 46312 and the phone number is (844) 458-2800
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 15D2107602 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 14, 2017. 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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