DELTA CONCIERGE MEDICINE, INC.
NPI 1598049264
Health Maintenance Organization in Clarksdale, MS

NPI Status: Active since September 29, 2011

Contact Information

705 N STATE ST
CLARKSDALE, MS
ZIP 38614
Phone: (662) 621-2192

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  • Health Maintenance Organization

About DELTA CONCIERGE MEDICINE, INC.

This page provides the complete NPI Profile along with additional information for Delta Concierge Medicine, Inc., a provider established in Clarksdale, Mississippi operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1598049264 assigned on September 2011. The practitioner's primary taxonomy code is 302R00000X with license number 16776 (MS). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Kenneth Kellough (Chief Executive Officer)

NPI
1598049264
Provider Name
DELTA CONCIERGE MEDICINE, INC.
Entity Type
Organization
Location Address
705 N STATE ST CLARKSDALE, MS 38614
Location Phone
(662) 621-2192
Mailing Address
PO BOX 1930 CLARKSDALE, MS 38614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2011
Last Update Date
09-29-2011
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
16776
License State
MS
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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. KENNETH KELLOUGH

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(662) 621-2192

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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.
1598049264
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251880418212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 0 + 4 + 1 + 8 + 2 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1598049264 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609815000DR. KENNETH W KELLOUGH M.D.
Individual
Internal Medicine705 N STATE ST
CLARKSDALE, MS 38614
(662) 621-2192
1780778571NORTH DELTA MEDICINE CLINIC P A
Organization
Internal Medicine705 N STATE ST
CLARKSDALE, MS 38614
(662) 621-2192
1871098350BYRD FAMILY MEDICAL CLINIC
Organization
Clinic/Center (Primary Care)705 N STATE ST
CLARKSDALE, MS 38614
(662) 627-2973
1851118657 KAYLEA ANN BYRD
Individual
Nurse Practitioner (Family)705 N STATE ST
CLARKSDALE, MS 38614
(662) 627-2973

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598049264, enumerated in the NPI registry as an "organization" on September 29, 2011

The provider is located at 705 N State St Clarksdale, Ms 38614 and the phone number is (662) 621-2192

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

This NPI record was last updated on September 29, 2011. 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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