CHIPOLA QUICK CARE ALFORD & PRIMARY CARE
NPI 1356917892
Clinic/Center - Multi-Specialty in Alford, FL
NPI Status: Active since June 03, 2021
Contact Information
1798 GEORGIA ST
ALFORD, FL
ZIP 32420
Phone: (850) 526-6727
Fax: (850) 526-1027
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 10D2122747
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-05-2026
About CHIPOLA QUICK CARE ALFORD & PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Chipola Quick Care Alford & Primary Care, a provider established in Alford, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1356917892 assigned on June 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Chipola Quick Care Alford & Primary Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Chipola Quick Care Alford & Primary Care. The authorized official of this NPI record is Margaret Carter (Payer Credentialing Coordinator)
- NPI
- 1356917892
- Provider Legal Name
- ER PHYSICIAN GROUP AT JACKSON HOSPITAL
- Other Organization Name
- CHIPOLA QUICK CARE ALFORD & PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1798 GEORGIA ST ALFORD, FL 32420
- Location Phone
- (850) 526-6727
- Location Fax
- (850) 526-1027
- Mailing Address
- 4250 HOSPITAL DR MARIANNA, FL 32446
- Mailing Phone
- (850) 526-6727
- Mailing Fax
- (850) 526-1027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-03-2021
- Last Update Date
- 01-16-2023
- Code Navigator
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- myBlue Bronze 1601 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $45 / Rewards) - HMO
- myBlue Bronze 2013 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $30 / Rewards) - HMO
- myBlue Bronze 2129 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2129E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
- myBlue Bronze 2129V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
- myBlue Bronze 2149 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2149E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
- myBlue Bronze 2149V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
- myBlue Bronze 2219 ($0 Virtual PCP Visits / Rewards) - HMO
- myBlue Bronze 2286 ($0 Virtual PCP Visits / Rewards) - HMO
- myBlue Bronze 2312S ($50 PCP Visits / Multilingual Available / Rewards) - HMO
- myBlue Bronze 2322S ($50 PCP Visits / Multilingual Available / Rewards) - HMO
- myBlue Bronze 2329 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) - HMO
- myBlue Bronze 2329E ($0 Virtual PCP Visits / $75 PCP Visits / Adult Dental & Vision / Rewards) - HMO
- myBlue Bronze 2329V ($0 Virtual PCP Visits / $75 PCP Visits / Adult Vision / Rewards) - HMO
- myBlue Bronze 2349 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) - HMO
- myBlue Connected Care Silver 24M03-70 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards) - HMO
- myBlue Gold 1605 ($0 Virtual PCP Visits / $0 Labs / Rewards) - HMO
- myBlue Gold 2011 ($0 Virtual PCP Visits / $0 Labs / Rewards) - HMO
- myBlue Gold 2016 ($0 Deductible / $0 Virtual PCP Visits / Rewards) - 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
- 10D2122747
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 06, 2024
- Certificate Expiration Date
- December 05, 2026
- Laboratory Director
- RICHARD BRUNNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chipola Quick Care Alford & Primary Care 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 CHIPOLA QUICK CARE ALFORD & PRIMARY CARE
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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 | 5 | 6 | 9 | 1 | 7 | 8 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 18 | 1 | 14 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 8 + 1 + 1 + 4 + 8 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1356917892 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1568120046 | TRISHA LEANNA JONES APRN Individual | Nurse Practitioner (Family) | 1798 GEORGIA ST ALFORD, FL 32420 (850) 526-6727 |
| 1508379751 | KRISTIN G FENTON A.R.N.P. Individual | Nurse Practitioner (Adult Health) | 1798 GEORGIA ST ALFORD, FL 32420 (850) 526-6727 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356917892, enumerated in the NPI registry as an "organization" on June 03, 2021
The provider is located at 1798 Georgia St Alford, Fl 32420 and the phone number is (850) 526-6727
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2122747 for a "community clinic" 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 03, 2021. 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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