UNION EDUCATIONAL COMPLEX-SBHC
NPI 1265208748
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Storm, WV

NPI Status: Active since November 27, 2023

Contact Information

52 TIGER DR
MOUNT STORM, WV
ZIP 26739
Phone: (304) 693-7612

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 51D2311111
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 09-16-2026

About UNION EDUCATIONAL COMPLEX-SBHC

This page provides the complete NPI Profile along with additional information for Union Educational Complex-sbhc, a primary care provider established in Mount Storm, West Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1265208748 assigned on November 2023. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Union Educational Complex-sbhc. The authorized official of this NPI record is Beverly J. Snyder (Executive Assistant)

NPI
1265208748
Provider Legal Name
PRESTON TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
Other Organization Name
UNION EDUCATIONAL COMPLEX-SBHC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
52 TIGER DR MOUNT STORM, WV 26739
Location Phone
(304) 693-7612
Mailing Address
25 W BLUEMONT ST GRAFTON, WV 26354
Mailing Phone
(304) 265-0312
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-27-2023
Last Update Date
12-29-2023
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A primary care provider (PCP) like Union Educational Complex-sbhc 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 .

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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

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

BEVERLY J. SNYDER

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(304) 265-0312

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
51D2311111
Facility Type
Federally Qualified Health Center
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
DR. ANDREW M. FOY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Union Educational Complex-sbhc 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.

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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.
1265208748
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125401678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 4 + 0 + 1 + 6 + 7 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1265208748 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265208748, enumerated in the NPI registry as an "organization" on November 27, 2023

The provider is located at 52 Tiger Dr Mount Storm, Wv 26739 and the phone number is (304) 693-7612

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider's CLIA number is 51D2311111 for a "federally qualified health center" 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 November 27, 2023. 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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