KLAMATH FA MILY PRACTICE CENTER PC
NPI 1245228980
Family Medicine in Klamath Falls, OR

NPI Status: Active since October 06, 2005

Contact Information

2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 238-6432
Fax: (541) 539-6439

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  • Organization
  • Family Medicine
  • CLIA Number: 38D0991433
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About KLAMATH FA MILY PRACTICE CENTER PC

This page provides the complete NPI Profile along with additional information for Klamath Fa Mily Practice Center Pc, a primary care provider established in Klamath Falls, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1245228980 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 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 authorized official of this NPI record is Jon G Mckellar Md (President)

NPI
1245228980
Provider Name
KLAMATH FA MILY PRACTICE CENTER PC
Entity Type
Organization
Location Address
2310 MOUNTAIN VIEW BLVD KLAMATH FALLS, OR 97601
Location Phone
(541) 238-6432
Location Fax
(541) 539-6439
Mailing Address
PO BOX 5234 KLAMATH FALLS, OR 97601
Mailing Phone
(541) 238-6462
Mailing Fax
(541) 539-6439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2005
Last Update Date
07-21-2022
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A primary care provider (PCP) like Klamath Fa Mily Practice Center Pc 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.

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.

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

JON G MCKELLAR MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 238-6462

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
38D0991433
Facility Type
Community Clinic
Certificate Effective Date
September 20, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
ERIC GORANSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Klamath Fa Mily Practice Center Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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.
1245228980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854216916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 2 + 1 + 6 + 9 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245228980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215022934 CHARLES MICHAEL LABUWI MD
Individual
Pediatrics2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
(541) 883-3591
1902992795 ELEANOR FRANCES LUSTIG-BUTTS CPNP
Individual
Nurse Practitioner (Pediatrics)2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
(541) 883-3591
1669553988KLAMATH PEDIATRIC CLINIC, PC
Organization
Pediatrics2310 MOUNTAIN VIEW BLVD
KLAMATH FALLS, OR 97601
(541) 883-3591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245228980, enumerated in the NPI registry as an "organization" on October 06, 2005

The provider is located at 2310 Mountain View Blvd Klamath Falls, Or 97601 and the phone number is (541) 238-6432

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 38D0991433 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on October 06, 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.