RUSSELL FORK WALK-IN CLINIC
NPI 1528484037
Clinic/Center in Elkhorn City, KY
NPI Status: Active since March 07, 2014
Contact Information
17401 KY HIGHWAY 80 E
ELKHORN CITY, KY
ZIP 41522
Phone: (606) 754-7100
Fax: (606) 754-0770
- Organization
- Clinic/Center
- CLIA Number: 18D2074821
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-16-2026
About RUSSELL FORK WALK-IN CLINIC
This page provides the complete NPI Profile along with additional information for Russell Fork Walk-in Clinic, a provider established in Elkhorn City, Kentucky operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1528484037 assigned on March 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Russell Fork Walk-in Clinic 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 Russell Fork Walk-in Clinic. The authorized official of this NPI record is Nichol Burchfield Pa-c (Owner/member)
- NPI
- 1528484037
- Provider Legal Name
- SPECIALTY PHYSICIAN ASSISTANT,LLC
- Other Organization Name
- RUSSELL FORK WALK-IN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17401 KY HIGHWAY 80 E ELKHORN CITY, KY 41522
- Location Phone
- (606) 754-7100
- Location Fax
- (606) 754-0770
- Mailing Address
- PO BOX 2122 PIKEVILLE, KY 41502
- Mailing Phone
- (606) 754-7100
- Mailing Fax
- (606) 754-0770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2014
- Last Update Date
- 11-29-2023
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License State
- KY
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (KY) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (KY) |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (KY) |
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.
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
- 18D2074821
- Facility Type
- Physician Office
- Certificate Effective Date
- March 17, 2024
- Certificate Expiration Date
- March 16, 2026
- Laboratory Director
- NICHOL BURCHFIELD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Russell Fork Walk-in 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 | 5 | 2 | 8 | 4 | 8 | 4 | 0 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 8 | 8 | 8 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 8 + 8 + 8 + 0 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1528484037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497893085 | NICHOL B. BURCHFIELD PA-C Individual | Physician Assistant | 17401 KY HIGHWAY 80 E ELKHORN CITY, KY 41522 (606) 754-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528484037, enumerated in the NPI registry as an "organization" on March 07, 2014
The provider is located at 17401 Ky Highway 80 E Elkhorn City, Ky 41522 and the phone number is (606) 754-7100
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 18D2074821 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 March 07, 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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