MICHELIN FAMILY HEALTH CENTER STARR
NPI 1952808974
Clinic/Center - Multi-Specialty in Anderson, SC

NPI Status: Active since April 06, 2018

Contact Information

10 BIB WAY
ANDERSON, SC
ZIP 29626
Phone: (864) 332-1793
Fax: (864) 332-1798

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About MICHELIN FAMILY HEALTH CENTER STARR

This page provides the complete NPI Profile along with additional information for Michelin Family Health Center Starr, a provider established in Anderson, South Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1952808974 assigned on April 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Michelin Family Health Center Starr. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1952808974
Provider Legal Name
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Other Organization Name
MICHELIN FAMILY HEALTH CENTER STARR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10 BIB WAY ANDERSON, SC 29626
Location Phone
(864) 332-1793
Location Fax
(864) 332-1798
Mailing Address
5500 MARYLAND WAY STE 400 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2018
Last Update Date
08-23-2022
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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

DR. JON LEIZMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

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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.
1952808974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910216016914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1952808974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336633510MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
Organization
General Practice10 BIB WAY
ANDERSON, SC 29626
(864) 332-1793
1386311041EVERSIDE HEALTH LLC
Organization
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)10 BIB WAY
ANDERSON, SC 29626
(704) 936-5546
1063846913PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Organization
Clinic/Center (Occupational Medicine)10 BIB WAY
ANDERSON, SC 29626
(864) 964-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952808974, enumerated in the NPI registry as an "organization" on April 06, 2018

The provider is located at 10 Bib Way Anderson, Sc 29626 and the phone number is (864) 332-1793

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on April 06, 2018. 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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