CCMH MEDICAL CLINIC
NPI 1174793285
Family Medicine in Denison, IA
NPI Status: Active since March 04, 2008
Contact Information
100 MEDICAL PKWY
SUITE A
DENISON, IA
ZIP 51442
Phone: (712) 265-2700
Fax: (712) 263-1777
- Organization
- Family Medicine
About CCMH MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Ccmh Medical Clinic, a primary care provider established in Denison, Iowa operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174793285 assigned on March 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 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 other name is Ccmh Medical Clinic. The authorized official of this NPI record is Nancy J. Carlson (Chief Financial Officer)
- NPI
- 1174793285
- Provider Legal Name
- CRAWFORD COUNTY MEMORIAL HOSPITAL
- Other Organization Name
- CCMH MEDICAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 100 MEDICAL PKWY SUITE A DENISON, IA 51442
- Location Phone
- (712) 265-2700
- Location Fax
- (712) 263-1777
- Mailing Address
- 100 MEDICAL PKWY SUITE A DENISON, IA 51442
- Mailing Phone
- (712) 265-2700
- Mailing Fax
- (712) 263-1777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-04-2008
- Last Update Date
- 11-28-2011
- Code Navigator
A primary care provider (PCP) like Ccmh Medical 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE 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:
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.
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 |
|---|---|---|---|
| 0154542 | MEDICAID (05) | IA | |
| 51356 | OTHER (01) | IA | WELLMARK |
| 51356 | MEDICARE PIN (08) | IA |
Reviews for CCMH MEDICAL 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. | |||||||||
| 1 | 1 | 7 | 4 | 7 | 9 | 3 | 2 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 9 | 6 | 2 | 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 + 4 + 9 + 6 + 2 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1174793285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649240201 | CRAWFORD COUNTY MEMORIAL HOSPITAL Organization | Ambulance (Land Transport) | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1346397767 | CRAWFORD COUNTY MEMORIAL HOSPITAL Organization | Personal Emergency Response Attendant | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1821339490 | BROOKE TASLER RD, LD Individual | Dietitian, Registered | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2537 |
| 1588002323 | MRS. LORI LYNN JOHANNSEN PA-C Individual | Physician Assistant | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2700 |
| 1376975524 | ERIN LOUISE SCHECHINGER ARNP Individual | Nurse Practitioner | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1134121890 | DAVID J. WRIGHT D.O. Individual | Surgery | 100 MEDICAL PKWY SUITE A DENISON, IA 51442 (712) 265-2700 |
| 1184927634 | MR. CHARLES REGINALD ELAM IV Individual | Nurse Anesthetist, Certified Registered | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2683 |
| 1245657584 | JULIE DEKKER FLINT CRNA Individual | Nurse Anesthetist, Certified Registered | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1659862530 | KYLE BRANDON BROWN MD Individual | Emergency Medicine | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1710175112 | SARA NICOLE LUFT NP Individual | Nurse Practitioner (Family) | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2700 |
| 1508420027 | PATRICK LUFT Individual | Family Medicine | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2500 |
| 1558646463 | NORTHLAND HEARING CENTERS, INC. Organization | Clinic/Center (Hearing and Speech) | 100 MEDICAL PKWY DENISON, IA 51442 (712) 792-1421 |
| 1104893700 | CRAWFORD COUNTY MEMORIAL HOSPITAL Organization | Clinic/Center (Rural Health) | 100 MEDICAL PKWY STE A & B DENISON, IA 51442 (712) 265-2700 |
| 1609763622 | JOSEPH WEBER DPT Individual | Physical Therapist | 100 MEDICAL PKWY DENISON, IA 51442 (712) 265-2626 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174793285, enumerated in the NPI registry as an "organization" on March 04, 2008
The provider is located at 100 Medical Pkwy Suite A Denison, Ia 51442 and the phone number is (712) 265-2700
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Wellmark. 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 March 04, 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.