DECATUR ATHLETIC CLUB
NPI 1588892475
Clinic/Center - Rehabilitation in Decatur, IL

NPI Status: Active since June 30, 2009

Contact Information

1010 W SOUTH SIDE DR
DECATUR, IL
ZIP 62521
Phone: (217) 423-7020
Fax: (217) 423-7562

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  • Organization
  • Clinic/Center
  • Rehabilitation

About DECATUR ATHLETIC CLUB

This page provides the complete NPI Profile along with additional information for Decatur Athletic Club, a provider established in Decatur, Illinois operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1588892475 assigned on June 2009. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Alice Yvonne Daniels (Director Of Post Rehabilitation)

NPI
1588892475
Provider Name
DECATUR ATHLETIC CLUB
Entity Type
Organization
Location Address
1010 W SOUTH SIDE DR DECATUR, IL 62521
Location Phone
(217) 423-7020
Location Fax
(217) 423-7562
Mailing Address
1010 W SOUTH SIDE DR DECATUR, IL 62521
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2009
Last Update Date
06-30-2009
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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 Rehabilitation

Taxonomy Code
261QR0400X
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

ALICE YVONNE DANIELS

Authorized Official Title
DIRECTOR OF POST REHABILITATION
Authorized Official Phone
(217) 423-7020

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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.
1588892475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681694414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 4 + 4 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1588892475 is valid because the calculated check digit 5 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 1588892475, enumerated in the NPI registry as an "organization" on June 30, 2009

The provider is located at 1010 W South Side Dr Decatur, Il 62521 and the phone number is (217) 423-7020

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

This NPI record was last updated on June 30, 2009. 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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