DBA SHAWNEE FAMILY HEALTH CENTER
NPI 1225508195
Clinic/Center - Federally Qualified Health Center (FQHC) in Coal Grove, OH
NPI Status: Active since December 04, 2018
Contact Information
225 CARLTON DAVIDSON LN
COAL GROVE, OH
ZIP 45638
Phone: (740) 533-6280
Fax: (740) 353-1662
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 36D2009193
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-27-2026
About DBA SHAWNEE FAMILY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Dba Shawnee Family Health Center, a primary care provider established in Coal Grove, Ohio operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1225508195 assigned on December 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Dba Shawnee Family Health Center. The authorized official of this NPI record is Cynthia Holstein (Ceo)
- NPI
- 1225508195
- Provider Legal Name
- SHAWNEE MENTAL HEALTH CENTER, INC.
- Other Organization Name
- DBA SHAWNEE FAMILY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638
- Location Phone
- (740) 533-6280
- Location Fax
- (740) 353-1662
- Mailing Address
- 901 WASHINGTON ST PORTSMOUTH, OH 45662
- Mailing Phone
- (740) 355-8686
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2018
- Last Update Date
- 05-09-2022
- Code Navigator
A primary care provider (PCP) like Dba Shawnee Family Health Center 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 Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- 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
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - 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.
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 |
|---|---|---|---|
| 0339264 | MEDICAID (05) | OH |
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
- 36D2009193
- Facility Type
- Physician Office
- Certificate Effective Date
- June 28, 2024
- Certificate Expiration Date
- June 27, 2026
- Laboratory Director
- GENIE LEWIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dba Shawnee Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DBA SHAWNEE FAMILY HEALTH CENTER
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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 | 2 | 5 | 5 | 0 | 8 | 1 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 10 | 0 | 16 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 0 + 0 + 1 + 6 + 1 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1225508195 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265600241 | MRS. VALERIE A PATRICK LSW Individual | Counselor (Mental Health) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 355-8606 |
| 1699019992 | JENNIFER REBECCA CONLEY LISW Individual | Social Worker (Clinical) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 354-7702 |
| 1659739514 | NICOLE ROSE LPN Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1730547696 | BETH LEWIS LPN Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1881055119 | DANIELLE BOYER Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1821531328 | BROOKE MCFANN LPN Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0647 |
| 1558729418 | GENIE LEWIS LPN Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1447769922 | JOSEPH EVANS Individual | Case Manager/Care Coordinator | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1053820530 | COURTNEY HAYDEN Individual | Case Manager/Care Coordinator | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1467943746 | AMANDA BOLL Individual | Social Worker | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1548735418 | JULIA TAYLOR Individual | Social Worker | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1194290056 | ERIC DEPRIEST Individual | Social Worker (School) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1750924064 | STACEY KLAIBER LPN Individual | Licensed Practical Nurse | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1508375908 | JANE RAMEY Individual | Counselor (Professional) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1811527153 | PAIGE MULLINS Individual | Counselor (Professional) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1891379400 | MASON SCHUG QMHS Individual | Case Manager/Care Coordinator | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1558916882 | AMANDA WILLIAMS QMHS Individual | Case Manager/Care Coordinator | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 354-7702 |
| 1245754183 | JOHN HOCEVAR Individual | Counselor (Professional) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
| 1700534328 | VICTORIA L LANE Individual | Case Manager/Care Coordinator | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (407) 533-0648 |
| 1164456760 | DANIEL J CARDONA M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 225 CARLTON DAVIDSON LN COAL GROVE, OH 45638 (740) 533-0648 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225508195, enumerated in the NPI registry as an "organization" on December 04, 2018
The provider is located at 225 Carlton Davidson Ln Coal Grove, Oh 45638 and the phone number is (740) 533-6280
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D2009193 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 04, 2018. 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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