APPLEGATE RECOVERY WILLIAMSPORT
NPI 1588905723
Family Medicine - Addiction Medicine in Williamsport, PA
NPI Status: Active since March 13, 2013
Contact Information
1101 E 3RD ST
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 505-3180
Fax: (570) 505-3184
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 39D2090129
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-14-2027
About APPLEGATE RECOVERY WILLIAMSPORT
This page provides the complete NPI Profile along with additional information for Applegate Recovery Williamsport, a provider established in Williamsport, Pennsylvania operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1588905723 assigned on March 2013. The practitioner's primary taxonomy code is 207QA0401X with license number MD042726L (PA). The provider is registered as an organization and their NPI record was last updated one year ago. Applegate Recovery Williamsport operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Applegate Recovery Williamsport. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1588905723
- Provider Legal Name
- FAMILY RECOVERY, LLC
- Other Organization Name
- APPLEGATE RECOVERY WILLIAMSPORT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1101 E 3RD ST WILLIAMSPORT, PA 17701
- Location Phone
- (570) 505-3180
- Location Fax
- (570) 505-3184
- Mailing Address
- 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2013
- Last Update Date
- 07-29-2024
- 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
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD042726L
- License State
- PA
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207LA0401X | Allopathic & Osteopathic Physicians | Anesthesiology | MD042726L (PA) |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | MD042726L (PA) |
| 3 | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | MD443569 (PA) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD042726L |
| 5 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | OS014721 (PA) |
| 6 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | MD018954E (PA) |
| 7 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | MD045007L (PA) |
| 8 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | MD036563L (PA) |
| 9 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD443569 (PA) |
| 10 | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD039704E (PA) |
| 11 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | MD433062 (PA) |
| 12 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | MD042726L (PA) |
| 13 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 39D2090129
- Facility Type
- Physician Office
- Certificate Effective Date
- January 15, 2025
- Certificate Expiration Date
- January 14, 2027
- Laboratory Director
- DR. GREGORY FAMIGLIO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Applegate Recovery Williamsport 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 | 8 | 8 | 9 | 0 | 5 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 18 | 0 | 10 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 8 + 0 + 1 + 0 + 7 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1588905723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518123140 | WILLIAMSPORT PHYSICAL MEDICINE, INC. Organization | Durable Medical Equipment & Medical Supplies | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 322-5500 |
| 1891063624 | WILLIAMSPORT PHYSICAL MEDICINE, INC. Organization | Chiropractor | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 322-5500 |
| 1033487871 | WILLIAMSPORT PHYSICAL MEDICINE, INC. Organization | Physical Therapist | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 322-5500 |
| 1821347667 | MS. DONNA M RUNG M.A. Individual | Technician, Other | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 322-5500 |
| 1679841415 | WILLIAMSPORT PHYSICAL MEDICINE, INC. Organization | General Practice | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 322-5500 |
| 1982069555 | PAIN RECOVERY CENTER LLC Organization | Pain Medicine (Pain Medicine) | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 505-3180 |
| 1770747198 | XIAPING XIE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1101 E 3RD ST FAMILY RECOVEREY SOLUTIONS WILLIAMSPORT, PA 17701 (570) 505-1380 |
| 1992908503 | DR. GREGORY FAMIGLIO M.D. Individual | Family Medicine (Addiction Medicine) | 1101 E 3RD ST WILLIAMSPORT, PA 17701 (570) 505-3180 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588905723, enumerated in the NPI registry as an "organization" on March 13, 2013
The provider is located at 1101 E 3rd St Williamsport, Pa 17701 and the phone number is (570) 505-3180
This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine
The provider's CLIA number is 39D2090129 for a "physician office" 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 March 13, 2013. 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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