SAINT FRANCIS CLINIC POPLAR BLUFF NORTHWEST MEDICAL
NPI 1023574365
Clinic/Center in Poplar Bluff, MO

NPI Status: Active since February 12, 2019

Contact Information

2210 BARRON RD STE 120
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-2005
Fax: (573) 785-9444

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  • Organization
  • Clinic/Center

About SAINT FRANCIS CLINIC POPLAR BLUFF NORTHWEST MEDICAL

This page provides the complete NPI Profile along with additional information for Saint Francis Clinic Poplar Bluff Northwest Medical, a provider established in Poplar Bluff, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023574365 assigned on February 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Saint Francis Clinic Poplar Bluff Northwest Medical 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 Saint Francis Clinic Poplar Bluff Northwest Medical. The authorized official of this NPI record is Kim Gilliland (Credentialing)

NPI
1023574365
Provider Legal Name
SAINT FRANCIS MEDICAL CENTER
Other Organization Name
SAINT FRANCIS CLINIC POPLAR BLUFF NORTHWEST MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2210 BARRON RD STE 120 POPLAR BLUFF, MO 63901
Location Phone
(573) 785-2005
Location Fax
(573) 785-9444
Mailing Address
PO BOX 801143 KANSAS CITY, MO 64180
Mailing Phone
(573) 331-5583
Mailing Fax
(573) 785-9444
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2019
Last Update Date
09-17-2021
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
5363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
6363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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.

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

KIM GILLILAND

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(573) 331-5583

Reviews for SAINT FRANCIS CLINIC POPLAR BLUFF NORTHWEST MEDICAL

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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.
1023574365
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431078312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 0 + 7 + 8 + 3 + 1 + 2 + 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 1023574365 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952866139SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center (Rural Health)2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
(573) 785-2005
1811661861MRS. TONYA MISCHELL LUCAS CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
(573) 785-6536
1083745475BIG SPRINGS MEDICAL ASSOCIATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
(573) 785-6536
1386230449 KATELYN BROOKE CLEOUS NP
Individual
Nurse Practitioner (Family)2210 BARRON RD STE 120
POPLAR BLUFF, MO 63901
(573) 785-6536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023574365, enumerated in the NPI registry as an "organization" on February 12, 2019

The provider is located at 2210 Barron Rd Ste 120 Poplar Bluff, Mo 63901 and the phone number is (573) 785-2005

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on February 12, 2019. 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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