THE BOLICK CLINIC, INC.
NPI 1073680088
Clinic/Center - Multi-Specialty in Maitland, FL

NPI Status: Active since November 29, 2006

Contact Information

500 E HORATIO AVE
SUITE 5
MAITLAND, FL
ZIP 32751
Phone: (407) 629-5333
Fax: (407) 629-5343

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About THE BOLICK CLINIC, INC.

This page provides the complete NPI Profile along with additional information for The Bolick Clinic, Inc., a provider established in Maitland, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1073680088 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The Bolick Clinic, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Channing C. Bolick D.c. (President)

NPI
1073680088
Provider Name
THE BOLICK CLINIC, INC.
Entity Type
Organization
Location Address
500 E HORATIO AVE SUITE 5 MAITLAND, FL 32751
Location Phone
(407) 629-5333
Location Fax
(407) 629-5343
Mailing Address
500 E HORATIO AVE SUITE 5 MAITLAND, FL 32751
Mailing Phone
(407) 629-5333
Mailing Fax
(407) 629-5343
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
06-04-2019
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Location Map

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

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)
1111N00000XChiropractic Providers

Chiropractor

 
2171100000XOther Service Providers

Acupuncturist

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. CHANNING C. BOLICK D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(407) 629-5333

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
55996OTHER (01)FLBLUE CROSS GROUP NUMBER
3819132-00MEDICAID (05)FL 

Reviews for THE BOLICK CLINIC, INC.

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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.
1073680088
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431280016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 8 + 0 + 0 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1073680088 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265727861CENTRAL FLORIDA INTEGRATED WELLNESS CLINIC PLLC
Organization
Anesthesiology (Pain Medicine)500 E HORATIO AVE SUITE 5
MAITLAND, FL 32751
(407) 629-5333
1316936206DR. CHANNING C BOLICK M.S., D.C.
Individual
Chiropractor500 E HORATIO AVE SUITE 5
MAITLAND, FL 32751
(407) 629-5333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073680088, enumerated in the NPI registry as an "organization" on November 29, 2006

The provider is located at 500 E Horatio Ave Suite 5 Maitland, Fl 32751 and the phone number is (407) 629-5333

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

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 29, 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.