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
- 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) |
---|---|---|---|---|
1 | 261Q00000X | Ambulatory 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.
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 |
---|---|---|---|
CH4859 | OTHER (01) | AL | RAILROAD MEDICARE |
529906130 | MEDICAID (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. | |||||||||
1 | 2 | 1 | 5 | 9 | 5 | 3 | 7 | 9 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 18 | 5 | 6 | 7 | 18 | |
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 = 9 | 9 |
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 |
---|---|---|---|
1700979788 | MRS. TARA JONES CRNP Individual | Nurse Practitioner | 1034 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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