MATTHEWS FREE MEDICAL CLINIC
NPI 1578851960
Clinic/Center in Matthews, NC

NPI Status: Active since July 19, 2011

Contact Information

113 N AMES ST
MATTHEWS, NC
ZIP 28105
Phone: (704) 841-8882

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  • Organization
  • Clinic/Center
  • CLIA Number: 34D1021755
  • CLIA Cert. Type: Other - FREE CLINIC
  • CLIA Exp. Date: 08-19-2026

About MATTHEWS FREE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Matthews Free Medical Clinic, a provider established in Matthews, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1578851960 assigned on July 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Jacqueline L Olin Pharmd (Clinical Pharmacist)

NPI
1578851960
Provider Name
MATTHEWS FREE MEDICAL CLINIC
Entity Type
Organization
Location Address
113 N AMES ST MATTHEWS, NC 28105
Location Phone
(704) 841-8882
Mailing Address
113 N AMES ST MATTHEWS, NC 28105
Mailing Phone
(704) 841-8882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2011
Last Update Date
07-19-2011
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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).

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

DR. JACQUELINE L OLIN PHARMD

Authorized Official Title
CLINICAL PHARMACIST
Authorized Official Phone
(704) 841-8882

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
34D1021755
Facility Type
Other - FREE CLINIC
Certificate Effective Date
August 20, 2024
Certificate Expiration Date
August 19, 2026
Laboratory Director
LOU A. MC ADAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Matthews Free Medical Clinic 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.
1578851960
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481652912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 6 + 5 + 2 + 9 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1578851960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396772752DR. LOU ANN MCADAMS MD
Individual
Family Medicine113 N AMES ST
MATTHEWS, NC 28105
(704) 841-8882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578851960, enumerated in the NPI registry as an "organization" on July 19, 2011

The provider is located at 113 N Ames St Matthews, Nc 28105 and the phone number is (704) 841-8882

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 34D1021755 for a "other - free clinic" 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 July 19, 2011. 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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