OUTREACH HEALTH INCORPORATED
NPI 1528699352
General Practice in Daytona Beach, FL

NPI Status: Active since January 30, 2020

Contact Information

240 N FREDERICK AVE
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 255-5569
Fax: (386) 257-1245

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  • Organization
  • General Practice

About OUTREACH HEALTH INCORPORATED

This page provides the complete NPI Profile along with additional information for Outreach Health Incorporated, a primary care provider established in Daytona Beach, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1528699352 assigned on January 2020. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Outreach Health Incorporated operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Chester Lee Wilson Jr. Ed.d. (Chief Executive Officer)

NPI
1528699352
Provider Name
OUTREACH HEALTH INCORPORATED
Entity Type
Organization
Location Address
240 N FREDERICK AVE DAYTONA BEACH, FL 32114
Location Phone
(386) 255-5569
Location Fax
(386) 257-1245
Mailing Address
240 N FREDERICK AVE DAYTONA BEACH, FL 32114
Mailing Phone
(386) 255-5569
Mailing Fax
(386) 257-1245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2020
Last Update Date
01-30-2020
Code Navigator

A primary care provider (PCP) like Outreach Health Incorporated 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

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

DR. CHESTER LEE WILSON JR. ED.D.

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(386) 675-0098

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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.
1528699352
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254812918310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 2 + 9 + 1 + 8 + 3 + 1 + 0 + 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 = 22

The NPI number 1528699352 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 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720260722OUTREACH COMMUNITY CARE NETWORK
Organization
Case Management240 N FREDERICK AVE SUITE A
DAYTONA BEACH, FL 32114
(386) 255-5569
1538341532MRS. ERIN LYNN REID
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1962794917OUTREACH COMMUNITY CARE NETWORK
Organization
Case Management240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1669758090MRS. BARBARA PRESTON
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1952738049OUTREACH COMMUNITY CARE NETWORK, INC.
Organization
Internal Medicine (Infectious Disease)240 N FREDERICK AVE SUITE D
DAYTONA BEACH, FL 32114
(386) 255-5569
1992116495 TONY L BROXTON
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1639582992 JANE MARTI MARTIN
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1841736964OUTREACH COMMUNITY CARE NETWORK INC
Organization
Case Management240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1225569973 WENDY SEAVERS
Individual
Community Health Worker240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1023678539DR. CHESTER WILSON JR. EDD, CAP, CMHP
Individual
Counselor (Mental Health)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 675-0098
1962048447THE LEVI LONG SICKLE CELL ASSOCIATION, INC
Organization
Case Management240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 795-5269
1164047106 KRISTIN CRUMBLEY LMHC, LMFT
Individual
Counselor (Mental Health)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 675-0118
1144299124 ANGEL I RIBO PA
Individual
Internal Medicine (Infectious Disease)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1942044722 AUSTIN KELL DANCE
Individual
Social Worker (Clinical)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 675-0205
1932932241DR. EARNEST M FINGERS PHD
Individual
Counselor (Mental Health)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1326863762 TERENCE CULVER
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 675-0083
1972936904 KRISTI FUSON APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1740075746MR. GEORGE EDDIE BUTTS JR.
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 255-5569
1912701301 BRIANNA L THOMAS
Individual
Case Manager/Care Coordinator240 N FREDERICK AVE
DAYTONA BEACH, FL 32114
(386) 241-0127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528699352, enumerated in the NPI registry as an "organization" on January 30, 2020

The provider is located at 240 N Frederick Ave Daytona Beach, Fl 32114 and the phone number is (386) 255-5569

This medical organization specializes in General Practice with taxonomy code 208D00000X

This NPI record was last updated on January 30, 2020. 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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