RIGHT FORK SCHOOL BASED HEALTH CLINIC
NPI 1528597440
Clinic/Center - Federally Qualified Health Center (FQHC) in Stoney Fork, KY
NPI Status: Active since June 05, 2017
Contact Information
5296 HIGHWAY 221
STONEY FORK, KY
ZIP 40988
Phone: (606) 337-8108
Fax: (606) 526-8606
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 18D1087809
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-05-2025
About RIGHT FORK SCHOOL BASED HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Right Fork School Based Health Clinic, a primary care provider established in Stoney Fork, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1528597440 assigned on June 2017. The practitioner's primary taxonomy code is 261QF0400X with license number 700188 (KY). The provider is registered as an organization and their NPI record was last updated one year ago. Right Fork School Based Health 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 Right Fork School Based Health Clinic. The authorized official of this NPI record is Michael W. Stanley (C.e.o.)
- NPI
- 1528597440
- Provider Legal Name
- GRACE COMMUNITY HEALTH CENTER INC
- Other Organization Name
- RIGHT FORK SCHOOL BASED HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5296 HIGHWAY 221 STONEY FORK, KY 40988
- Location Phone
- (606) 337-8108
- Location Fax
- (606) 526-8606
- Mailing Address
- 1019 CUMBERLAND FALLS HWY SUITE B201 CORBIN, KY 40701
- Mailing Phone
- (606) 526-9005
- Mailing Fax
- (606) 526-8606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-05-2017
- Last Update Date
- 06-28-2024
- Code Navigator
A primary care provider (PCP) like Right Fork School Based Health Clinic 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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 700188
- License State
- KY
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 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- 18D1087809
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 06, 2023
- Certificate Expiration Date
- November 05, 2025
- Laboratory Director
- DR. GOUTHAM HEBBALMATH
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Right Fork School Based Health Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 5 | 9 | 7 | 4 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 10 | 9 | 14 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 0 + 9 + 1 + 4 + 4 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528597440 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 1528597440, enumerated in the NPI registry as an "organization" on June 05, 2017
The provider is located at 5296 Highway 221 Stoney Fork, Ky 40988 and the phone number is (606) 337-8108
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 18D1087809 for a "federally qualified health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 05, 2017. 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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