FW HUSTON MEDICAL CLINIC
NPI 1447660360
Clinic/Center - Multi-Specialty in Perry, KS
NPI Status: Active since April 30, 2014
Contact Information
504 PLAZA DR
SUITE 300
PERRY, KS
ZIP 66073
Phone: (913) 774-4340
Fax: (913) 774-3379
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 17D2035956
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2025
About FW HUSTON MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Fw Huston Medical Clinic, a provider established in Perry, Kansas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1447660360 assigned on April 2014. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Fw Huston Medical Clinic. The authorized official of this NPI record is Mr. Lamont Cook (Ceo)
- NPI
- 1447660360
- Provider Legal Name
- JEFFERSON COUNTY MEMORIAL HOSPITAL
- Other Organization Name
- FW HUSTON MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 504 PLAZA DR SUITE 300 PERRY, KS 66073
- Location Phone
- (913) 774-4340
- Location Fax
- (913) 774-3379
- Mailing Address
- 408 DELAWARE ST WINCHESTER, KS 66097
- Mailing Phone
- (913) 774-4340
- Mailing Fax
- (913) 774-3379
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-30-2014
- Last Update Date
- 06-23-2014
- 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 100080370F | MEDICAID (05) | KS | |
| 110046 | OTHER (01) | KS | MEDICARE ID-TYPE UNSPECIFIED |
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
- 17D2035956
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2024
- Certificate Expiration Date
- December 31, 2025
- Laboratory Director
- CHELSEA D. WILLIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fw Huston Medical Clinic 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 | 4 | 4 | 7 | 6 | 6 | 0 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 12 | 6 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 2 + 6 + 0 + 3 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1447660360 is valid because the calculated check digit 0 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 1447660360, enumerated in the NPI registry as an "organization" on April 30, 2014
The provider is located at 504 Plaza Dr Suite 300 Perry, Ks 66073 and the phone number is (913) 774-4340
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: 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 17D2035956 for a "physician office" 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 April 30, 2014. 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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