LONG BEACH FAMILY MEDICAL CENTER
NPI 1295715076
Legal Medicine in Southport,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 18, 2006

Contact Information

2006 Robert Ruark Dr
Southport,
Post Code: 28461
Phone: (910) 457-0595
Fax: -

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Long Beach Family Medical Center in Southport - Legal Medicine

Long Beach Family Medical Center is a Legal Medicine in Southport, . Long Beach Family Medical Center practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Long Beach Family Medical Center is 1295715076. The last update date is 2008-08-25.

Long Beach Family Medical Center's current location address is 2006 Robert Ruark Dr, Southport, . You can contact this provider via phone number (910) 457-0595 and fax number -. The mailing address for Long Beach Family Medical Center is 2006 Robert Ruark Dr, Southport, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1295715076
Provider Legal Name
LONG BEACH FAMILY MEDICAL CENTER
Other Organization Name
LONG BEACH FAMILY MEDICAL CENTER
Other Name Type
-
Entity Type
Organization
Location Address
2006 Robert Ruark Dr, Southport,
Location Phone
(910) 457-0595
Location Fax
-
Mailing Address
4700 E Oak Island Dr, Oak Island, North Carolina(NC)
Mailing Phone
910-278-3500
Mailing Fax
910-278-7233
Enumeration Date
2006-01-18
Last Update Date
2008-08-25
Code Navigator

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, Primary Care

Taxonomy Code
261QP2300X
Type
-
License No.
39512
License State
North Carolina (NC)
Taxonomy Description
-

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 173000000X Legal Medicine

Legal Medicine

0039512 (North Carolina)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8943093 MEDICAID (05) North Carolina (NC)
207Q00000X Other (non-Medicare) (01) North Carolina (NC) Medicare Taxomony
207Q00000X Other (non-Medicare) (01) North Carolina (NC) Medicaid Taxomony
========= Other (non-Medicare) (01) North Carolina (NC) Tax ID#

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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.
1295715076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218514110014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2218514110014
2 + 2 + 1 + 8 + 5 + 1 + 4 + 1 + 1 + 0 + 0 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1295715076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920162 JON DUBOSE
Individual
Pediatrics 111 HOSPITAL DR
TARBORO, North Carolina (NC)
252-641-7700
1225031271 JOHN DAVID SHEPHERD
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD
PINEHURST, North Carolina (NC)
910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1235132382 WILLIAM MARTIN WALKER
Individual
Optometrist 402 S COX ST
ASHEBORO, North Carolina (NC)
336-625-4359
1104829159 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory 531 S SPRING ST
BURLINGTON, North Carolina (NC)
800-222-7566