SOUTHWEST CITY COMMUNITY CLINIC
NPI 1174522882
Clinic/Center - Rural Health in South West City, MO
NPI Status: Active since July 15, 2005
Contact Information
109 N BROADWAY ST
SOUTH WEST CITY, MO
ZIP 64863
Phone: (417) 762-3287
Fax: (417) 762-3255
- Organization
- Clinic/Center
- Rural Health
About SOUTHWEST CITY COMMUNITY CLINIC
This page provides the complete NPI Profile along with additional information for Southwest City Community Clinic, a primary care provider established in South West City, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1174522882 assigned on July 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southwest City Community Clinic. The authorized official of this NPI record is Vicki Plumlee (Director Of Clinics)
- NPI
- 1174522882
- Provider Legal Name
- ELK RIVER HEALTH SERVICES, INC.
- Other Organization Name
- SOUTHWEST CITY COMMUNITY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 109 N BROADWAY ST SOUTH WEST CITY, MO 64863
- Location Phone
- (417) 762-3287
- Location Fax
- (417) 762-3255
- Mailing Address
- PO BOX 160 109 N BROADWAY SOUTH WEST CITY, MO 64863
- Mailing Phone
- (417) 762-3287
- Mailing Fax
- (417) 762-3255
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2005
- Last Update Date
- 04-15-2014
- Code Navigator
A primary care provider (PCP) like Southwest City Community Clinic 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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License State
- MO
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 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | (OK) |
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.
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 |
|---|---|---|---|
| 100713200A | MEDICAID (05) | OK | |
| 263821 | MEDICARE OSCAR/CERTIFICATION (06) | MO | |
| 596813808 | MEDICAID (05) | MO | |
| 506813815 | MEDICAID (05) | MO |
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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. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 2 | 2 | 8 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 2 | 4 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 4 + 8 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1174522882 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1801343405 | SGOH ACQUISITION, INC. Organization | Clinic/Center (Rural Health) | 109 N BROADWAY ST SOUTH WEST CITY, MO 64863 (417) 762-3287 |
| 1629734934 | ASHLEY N WEATHERS CFNP Individual | Nurse Practitioner (Primary Care) | 109 N BROADWAY ST SOUTH WEST CITY, MO 64863 (417) 762-3287 |
| 1538168133 | ROBERT DAVID HILL DO Individual | Family Medicine | 109 N BROADWAY ST SOUTH WEST CITY, MO 64863 (417) 762-3287 |
| 1831754720 | AUDREY ANNE HUBLER FNP Individual | Nurse Practitioner (Family) | 109 N BROADWAY ST SOUTH WEST CITY, MO 64863 (417) 762-3287 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174522882, enumerated in the NPI registry as an "organization" on July 15, 2005
The provider is located at 109 N Broadway St South West City, Mo 64863 and the phone number is (417) 762-3287
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
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 15, 2005. 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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