SCOTTSVILLE PRIMARY CARE CLINIC
NPI 1043399249
Nurse Practitioner - Family in Scottsville, KY

NPI Status: Active since November 06, 2006

Contact Information

217 W MAIN ST
SCOTTSVILLE, KY
ZIP 42164
Phone: (270) 239-9355
Fax: (270) 239-9356

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 18D1015528
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-03-2025

About SCOTTSVILLE PRIMARY CARE CLINIC

This page provides the complete NPI Profile along with additional information for Scottsville Primary Care Clinic, a provider established in Scottsville, Kentucky operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1043399249 assigned on November 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 1920P (KY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Kim Duke (Patient Registration)

NPI
1043399249
Provider Name
SCOTTSVILLE PRIMARY CARE CLINIC
Entity Type
Organization
Location Address
217 W MAIN ST SCOTTSVILLE, KY 42164
Location Phone
(270) 239-9355
Location Fax
(270) 239-9356
Mailing Address
217 W MAIN ST SCOTTSVILLE, KY 42164
Mailing Phone
(270) 239-9355
Mailing Fax
(270) 239-9356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
08-22-2020
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A nurse practitioner (NP) like Scottsville Primary Care Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1920P
License State
KY

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MRS. KIM DUKE

Authorized Official Title
PATIENT REGISTRATION
Authorized Official Phone
(270) 239-9355

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
18D1015528
Facility Type
Other
Certificate Effective Date
August 04, 2023
Certificate Expiration Date
August 03, 2025
Laboratory Director
CATHY C. VINSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scottsville Primary Care Clinic 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.

Reviews for SCOTTSVILLE PRIMARY CARE CLINIC

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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.
1043399249
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083691828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 6 + 9 + 1 + 8 + 2 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1043399249 is valid because the calculated check digit 9 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
1689655987MRS. LINDA STOVALL A.R.N.P.
Individual
Nurse Practitioner (Family)217 W MAIN ST
SCOTTSVILLE, KY 42164
(270) 239-9355
1821371980COMMONWEALTH HEALTH CORPORATION, INC
Organization
Family Medicine217 W MAIN ST
SCOTTSVILLE, KY 42164
(270) 239-9355
1053365478 GLORIA MARROQUIN M.D.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)217 W MAIN ST
SCOTTSVILLE, KY 42164
(270) 239-9355
1215155965MRS. MARILYN J CARTER LMFT
Individual
Marriage & Family Therapist217 W MAIN ST
SCOTTSVILLE, KY 42164
(270) 618-0342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043399249, enumerated in the NPI registry as an "organization" on November 06, 2006

The provider is located at 217 W Main St Scottsville, Ky 42164 and the phone number is (270) 239-9355

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 18D1015528 for a "other" 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 November 06, 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].
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