MINOR MEDICAL CLINIC LLC
NPI 1720008675
Clinic/Center - Health Service in Lake Charles, LA

NPI Status: Active since July 20, 2006

Contact Information

109 EXECUTIVE DR.
SUITE C
LAKE CHARLES, LA
ZIP 70611
Phone: (337) 217-0922
Fax: (337) 217-0925

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  • Organization
  • Clinic/Center
  • Health Service

About MINOR MEDICAL CLINIC LLC

This page provides the complete NPI Profile along with additional information for Minor Medical Clinic Llc, a provider established in Lake Charles, Louisiana operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1720008675 assigned on July 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Karen Marie Whitehead Arpn (Family Nurse Practitioner)

NPI
1720008675
Provider Name
MINOR MEDICAL CLINIC LLC
Entity Type
Organization
Location Address
109 EXECUTIVE DR. SUITE C LAKE CHARLES, LA 70611
Location Phone
(337) 217-0922
Location Fax
(337) 217-0925
Mailing Address
109 EXECUTIVE DR. SUITE C LAKE CHARLES, LA 70611
Mailing Phone
(337) 217-0922
Mailing Fax
(337) 217-0925
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2006
Last Update Date
11-05-2010
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License State
LA

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

KAREN MARIE WHITEHEAD ARPN

Authorized Official Title
FAMILY NURSE PRACTITIONER
Authorized Official Phone
(337) 217-0922

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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.
1720008675
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400016614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 0 + 1 + 6 + 6 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720008675 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 1720008675, enumerated in the NPI registry as an "organization" on July 20, 2006

The provider is located at 109 Executive Dr. Suite C Lake Charles, La 70611 and the phone number is (337) 217-0922

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

This NPI record was last updated on July 20, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.