SOUTHERN MISSOURI FAMILY MEDICINE, LLC
NPI 1154584308
Clinic/Center - Primary Care in West Plains, MO

NPI Status: Active since July 08, 2008

Contact Information

1625 GIBSON ST
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-3717
Fax: (417) 256-3738

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  • Organization
  • Clinic/Center
  • Primary Care

About SOUTHERN MISSOURI FAMILY MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Southern Missouri Family Medicine, Llc, a primary care provider established in West Plains, Missouri operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1154584308 assigned on July 2008. The practitioner's primary taxonomy code is 261QP2300X with license number R5G97 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. James E Thompson M.d. (Owner)

NPI
1154584308
Provider Name
SOUTHERN MISSOURI FAMILY MEDICINE, LLC
Entity Type
Organization
Location Address
1625 GIBSON ST WEST PLAINS, MO 65775
Location Phone
(417) 256-3717
Location Fax
(417) 256-3738
Mailing Address
1402 N KENTUCKY AVE WEST PLAINS, MO 65775
Mailing Phone
(417) 256-3717
Mailing Fax
(417) 256-3738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2008
Last Update Date
03-17-2010
Code Navigator

A primary care provider (PCP) like Southern Missouri Family Medicine, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
R5G97
License State
MO

Insurance Plans Accepted

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

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. JAMES E THOMPSON M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(417) 256-3717

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
202379046MEDICAID (05)MO 
A29001MEDICARE UPIN (02) 
000090739MEDICARE PIN (08) 

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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.
1154584308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104108830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 8 + 8 + 3 + 0 + 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 1154584308 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043351422 EMILY ELLIOTT
Individual
Physical Therapist1625 GIBSON ST
WEST PLAINS, MO 65775
(417) 255-9577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154584308, enumerated in the NPI registry as an "organization" on July 08, 2008

The provider is located at 1625 Gibson St West Plains, Mo 65775 and the phone number is (417) 256-3717

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. 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 July 08, 2008. 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.