POLK COUNTY COMMUNITY HEALTH & WELLNESS CENTER, INC
NPI 1386883296
Community/Behavioral Health in Columbus, NC

NPI Status: Active since February 17, 2009

Contact Information

801 W MILLS ST STE A&B
COLUMBUS, NC
ZIP 28722
Phone: (828) 894-2222

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 34D2307205
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 07-02-2026

About POLK COUNTY COMMUNITY HEALTH & WELLNESS CENTER, INC

This page provides the complete NPI Profile along with additional information for Polk County Community Health & Wellness Center, Inc, a provider established in Columbus, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1386883296 assigned on February 2009. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mary Jo Stark (Office Manager)

NPI
1386883296
Provider Name
POLK COUNTY COMMUNITY HEALTH & WELLNESS CENTER, INC
Entity Type
Organization
Location Address
801 W MILLS ST STE A&B COLUMBUS, NC 28722
Location Phone
(828) 894-2222
Mailing Address
PO BOX 130 COLUMBUS, NC 28722
Mailing Phone
(828) 894-2222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2009
Last Update Date
03-04-2009
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

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.

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

MARY JO STARK

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(828) 894-2222

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
2592218MEDICARE PIN (08)NC 
1740484575OTHER (01)NCNPI
6000122MEDICAID (05)NC 
7912153MEDICAID (05)NC 
2874290MEDICARE PIN (08) 
6106296MEDICAID (05)NC 
2814900AMEDICARE PIN (08)NC 
6102994MEDICAID (05)NC 
6005017MEDICAID (05)NC 

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
34D2307205
Facility Type
Prison
Certificate Effective Date
July 03, 2024
Certificate Expiration Date
July 02, 2026
Laboratory Director
TONYA POWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Polk County Community Health & Wellness Center, 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.
1386883296
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661686218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 6 + 8 + 6 + 2 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1386883296 is valid because the calculated check digit 6 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 1386883296, enumerated in the NPI registry as an "organization" on February 17, 2009

The provider is located at 801 W Mills St Ste A&b Columbus, Nc 28722 and the phone number is (828) 894-2222

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2307205 for a "prison" 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 February 17, 2009. 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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