SOUTHERN REGIONAL OPEN MRI
NPI 1174526982
Clinic/Center - Radiology in Hopkinsville, KY

NPI Status: Active since May 24, 2005

Contact Information

611 HAMMOND PLZ
HOPKINSVILLE, KY
ZIP 42240
Phone: (270) 885-1950
Fax: (270) 885-4431

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  • Organization
  • Clinic/Center
  • Radiology
  • Accepts Insurance

About SOUTHERN REGIONAL OPEN MRI

This page provides the complete NPI Profile along with additional information for Southern Regional Open Mri, a provider established in Hopkinsville, Kentucky operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1174526982 assigned on May 2005. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Southern Regional Open Mri. The authorized official of this NPI record is Mrs. Michelle Douglas (Credentialing Manager)

NPI
1174526982
Provider Legal Name
HORSLEY, PSC
Other Organization Name
SOUTHERN REGIONAL OPEN MRI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
611 HAMMOND PLZ HOPKINSVILLE, KY 42240
Location Phone
(270) 885-1950
Location Fax
(270) 885-4431
Mailing Address
611 HAMMOND PLZ HOPKINSVILLE, KY 42240
Mailing Phone
(270) 885-1950
Mailing Fax
(270) 885-4431
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2005
Last Update Date
02-17-2014
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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 Radiology

Taxonomy Code
261QR0200X
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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 

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.

Insurance Plans Accepted

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

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - 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.

*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

MRS. MICHELLE DOUGLAS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(502) 403-1401

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
300102264OTHER (01)KYMEDICARE RR
1518114MEDICAID (05)TN 
64230873MEDICAID (05)KY 
1911901MEDICARE PIN (08)KY 

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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.
1174526982
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114410212916
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 + 1 + 2 + 9 + 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 = 22

The NPI number 1174526982 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467412049 BROOKS A HORSLEY MD
Individual
Radiology (Diagnostic Radiology)611 HAMMOND PLZ
HOPKINSVILLE, KY 42240
(270) 885-1950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174526982, enumerated in the NPI registry as an "organization" on May 24, 2005

The provider is located at 611 Hammond Plz Hopkinsville, Ky 42240 and the phone number is (270) 885-1950

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

The provider might be accepting Accepts: CareSource, 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 May 24, 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].
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.