BOURBON CLINIC
NPI 1326131475
Clinic/Center - Rural Health in Bourbon, MO
NPI Status: Active since October 02, 2006
Contact Information
240 COLLEGE ST
BOURBON, MO
ZIP 65441
Phone: (573) 732-5140
Fax: (314) 996-3610
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 26D0916554
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-24-2026
About BOURBON CLINIC
This page provides the complete NPI Profile along with additional information for Bourbon Clinic, a primary care provider established in Bourbon, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1326131475 assigned on October 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 355-24 (MO). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bourbon Clinic. The authorized official of this NPI record is Mr. Tony Schwarm (President)
- NPI
- 1326131475
- Provider Legal Name
- MISSOURI BAPTIST HOSPITAL OF SULLIVAN
- Other Organization Name
- BOURBON CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 240 COLLEGE ST BOURBON, MO 65441
- Location Phone
- (573) 732-5140
- Location Fax
- (314) 996-3610
- Mailing Address
- 670 MASON RIDGE CENTER DR SUITE 300 SAINT LOUIS, MO 63141
- Mailing Phone
- (314) 996-7644
- Mailing Fax
- (314) 996-3610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2006
- Last Update Date
- 03-23-2021
- Code Navigator
A primary care provider (PCP) like Bourbon Clinic 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
- License No.
- 355-24
- License State
- MO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO
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 |
|---|---|---|---|
| CE7443 | OTHER (01) | MO | MEDICARE RAILROAD |
| CG2664 | OTHER (01) | MO | MEDICARE RAILROAD |
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
- 26D0916554
- Facility Type
- Physician Office
- Certificate Effective Date
- June 25, 2024
- Certificate Expiration Date
- June 24, 2026
- Laboratory Director
- CHARLES H. REHM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bourbon Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for BOURBON CLINIC
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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 | 3 | 2 | 6 | 1 | 3 | 1 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 3 | 2 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 3 + 2 + 4 + 1 + 4 + 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 1326131475 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871604561 | ROBYN HEDGES Individual | Nurse Practitioner (Family) | 240 COLLEGE ST BOURBON, MO 65441 (573) 732-5140 |
| 1184174567 | MISSOURI BAPTIST HOSPITAL OF SULLIVAN Organization | Clinic/Center (Multi-Specialty) | 240 COLLEGE ST BOURBON, MO 65441 (573) 732-5004 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326131475, enumerated in the NPI registry as an "organization" on October 02, 2006
The provider is located at 240 College St Bourbon, Mo 65441 and the phone number is (573) 732-5140
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Aetna CVS Health, Railroad Medicare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 26D0916554 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 02, 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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