MEDICAL PARK FAMILY CARE
NPI 1215953799
Clinic/Center - Rural Health in Dadeville, AL

NPI Status: Active since July 15, 2006

Contact Information

1034 S TALLASSEE ST
DADEVILLE, AL
ZIP 36853
Phone: (256) 825-9900
Fax: (256) 825-6620

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 01D0981717
  • CLIA Cert. Type: Other - HOSPITAL OWNED CLINIC
  • CLIA Exp. Date: 06-30-2025

About MEDICAL PARK FAMILY CARE

This page provides the complete NPI Profile along with additional information for Medical Park Family Care, a primary care provider established in Dadeville, Alabama operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1215953799 assigned on July 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Medical Park Family Care. The authorized official of this NPI record is Lother E Peace Iii (President/ceo)

NPI
1215953799
Provider Legal Name
THE RUSSELL HOSPITAL CORPORATION
Other Organization Name
MEDICAL PARK FAMILY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1034 S TALLASSEE ST DADEVILLE, AL 36853
Location Phone
(256) 825-9900
Location Fax
(256) 825-6620
Mailing Address
1034 S TALLASSEE ST DADEVILLE, AL 36853
Mailing Phone
(256) 825-9900
Mailing Fax
(256) 825-6620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2006
Last Update Date
02-13-2024
Code Navigator

A primary care provider (PCP) like Medical Park Family Care 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

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

11873 (AL)

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.

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

LOTHER E PEACE III

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(256) 329-7147

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
CH4859OTHER (01)ALRAILROAD MEDICARE
529906130MEDICAID (05)AL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0981717
Facility Type
Other - HOSPITAL OWNED CLINIC
Certificate Effective Date
June 29, 2023
Certificate Expiration Date
June 30, 2025
Laboratory Director
BENJAMIN T. HINKLE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Medical Park Family Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1215953799
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251856718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 5 + 6 + 7 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1215953799 is valid because the calculated check digit 9 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
1700979788MRS. TARA JONES CRNP
Individual
Nurse Practitioner1034 S TALLASSEE ST
DADEVILLE, AL 36853
(256) 825-9900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215953799, enumerated in the NPI registry as an "organization" on July 15, 2006

The provider is located at 1034 S Tallassee St Dadeville, Al 36853 and the phone number is (256) 825-9900

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 01D0981717 for a "other - hospital owned clinic" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 15, 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].
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