SOUTH COMMUNITY PRIMARY CARE INC
NPI 1326334624
General Practice in Moraine, OH
NPI Status: Active since June 24, 2011
Contact Information
3095 KETTERING BLVD
MORAINE, OH
ZIP 45439
Phone: (937) 531-1974
Fax: (937) 534-1579
- Organization
- General Practice
- Accepts Insurance
- CLIA Number: 36D2080710
- CLIA Cert. Type: Other - COMMUNITY MENTAL HEALTH
- CLIA Exp. Date: 07-13-2026
About SOUTH COMMUNITY PRIMARY CARE INC
This page provides the complete NPI Profile along with additional information for South Community Primary Care Inc, a primary care provider established in Moraine, Ohio operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1326334624 assigned on June 2011. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. South Community Primary Care Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Carol M Smerz (Ceo)
- NPI
- 1326334624
- Provider Name
- SOUTH COMMUNITY PRIMARY CARE INC
- Entity Type
- Organization
- Location Address
- 3095 KETTERING BLVD MORAINE, OH 45439
- Location Phone
- (937) 531-1974
- Location Fax
- (937) 534-1579
- Mailing Address
- 3095 KETTERING BLVD MORAINE, OH 45439
- Mailing Phone
- (937) 531-1974
- Mailing Fax
- (937) 534-1579
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2011
- Last Update Date
- 04-10-2018
- Code Navigator
A primary care provider (PCP) like South Community Primary Care Inc 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 36D2080710
- Facility Type
- Other - COMMUNITY MENTAL HEALTH
- Certificate Effective Date
- July 14, 2024
- Certificate Expiration Date
- July 13, 2026
- Laboratory Director
- RICK T. BOWERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Community Primary Care Inc 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. | |||||||||
| 1 | 3 | 2 | 6 | 3 | 3 | 4 | 6 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 6 | 3 | 8 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 6 + 3 + 8 + 6 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1326334624 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1396784450 | DR. RICK THOMAS BOWERS M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1033276597 | SUSAN KAY SONGER MD Individual | Psychiatry & Neurology (Psychiatry) | 3095 KETTERING BLVD DAYTON, OH 45439 (937) 293-8300 |
| 1992857437 | DR. MARK EDWARD REYNOLDS MD Individual | Psychiatry & Neurology (Psychiatry) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1366598542 | MS. MARY JANE NIELSEN MSSA, LISW Individual | Social Worker | 3095 KETTERING BLVD DAYTON, OH 45439 (937) 293-8300 |
| 1780722025 | DR. VICKY L MOODY DO Individual | Psychiatry & Neurology (Psychiatry) | 3095 KETTERING BLVD SOUTH COMMUNITY BEHAVIORAL HEALTHCARE DAYTON, OH 45439 (937) 293-8300 |
| 1457492498 | DR. STEPHANIE COFFMAN FITZ M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3095 KETTERING BLVD DAYTON, OH 45439 (937) 293-8300 |
| 1194841510 | DR. EDWARD CHARLES LONGO III M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1427289818 | SOUTH COMMUNITY INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1063490241 | MRS. MICHELLE L SCHAFFER MA Individual | Counselor (Mental Health) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1770795148 | DR. JANICE IRENE MAUTZ PSY.D. Individual | Psychologist (Clinical) | 3095 KETTERING BLVD DAYTON, OH 45439 (937) 643-7097 |
| 1811138811 | KRISTIN JUMER PCC Individual | Counselor (Professional) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 542-3646 |
| 1659624369 | MR. LEE RICHARD DUNHAM LISW-S Individual | Social Worker (Clinical) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1669725214 | JESSE DENNISON PC-CR, CDCA Individual | Counselor (Mental Health) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1639422207 | MRS. LISA GAIL CARTER LISW-S Individual | Social Worker | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 534-1313 |
| 1790038214 | MRS. SONIA A HILLSHUNT LSW Individual | Social Worker | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1134472566 | MRS. KELLY ANN STRICKLAND PCC Individual | Counselor | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 603-8556 |
| 1053664334 | DANIEL WILLIAM HEFFNER Individual | Social Worker | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1487907796 | MS. BELINDA RENEE BOOMERSHINE MA LSW Individual | Social Worker | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
| 1588918635 | MR. JOHN FRANKLIN SWANN PCC(S) Individual | Counselor (Professional) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 913-1908 |
| 1730433897 | MRS. JANDIA J. SUTHERLAND MSW, LISW Individual | Social Worker (Clinical) | 3095 KETTERING BLVD MORAINE, OH 45439 (937) 293-8300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326334624, enumerated in the NPI registry as an "organization" on June 24, 2011
The provider is located at 3095 Kettering Blvd Moraine, Oh 45439 and the phone number is (937) 531-1974
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D2080710 for a "other - community mental health" 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 June 24, 2011. 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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