OUTREACH AND CLINIC SERVICES
NPI 1629145305
Clinic/Center - Public Health, State or Local in Roxboro, NC

NPI Status: Active since November 29, 2006

Contact Information

355 S MADISON BLVD
STE A
ROXBORO, NC
ZIP 27573
Phone: (336) 597-2204
Fax: (336) 597-4804

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  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • CLIA Number: 34D2150229
  • CLIA Cert. Type: Other - JAIL MEDICAL UNIT
  • CLIA Exp. Date: 05-24-2027

About OUTREACH AND CLINIC SERVICES

This page provides the complete NPI Profile along with additional information for Outreach And Clinic Services, a primary care provider established in Roxboro, North Carolina operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1629145305 assigned on November 2006. The practitioner's primary taxonomy code is 261QP0905X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Outreach And Clinic Services. The authorized official of this NPI record is Janet O Clayton (Health Director)

NPI
1629145305
Provider Legal Name
PERSON COUNTY HEALTH DEPARTMENT
Other Organization Name
OUTREACH AND CLINIC SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
355 S MADISON BLVD STE A ROXBORO, NC 27573
Location Phone
(336) 597-2204
Location Fax
(336) 597-4804
Mailing Address
355 S MADISON BLVD STE A ROXBORO, NC 27573
Mailing Phone
(336) 597-2204
Mailing Fax
(336) 597-4804
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-29-2006
Last Update Date
11-14-2011
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A primary care provider (PCP) like Outreach And Clinic Services 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 Public Health, State or Local

Taxonomy Code
261QP0905X
Type
Ambulatory Health Care Facilities

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)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

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.

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

JANET O CLAYTON

Authorized Official Title
HEALTH DIRECTOR
Authorized Official Phone
(336) 597-2204

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
3404421MEDICAID (05)NC 

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
34D2150229
Facility Type
Other - JAIL MEDICAL UNIT
Certificate Effective Date
May 25, 2025
Certificate Expiration Date
May 24, 2027
Laboratory Director
MOTLEY L. LINDSEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Outreach And Clinic Services 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.

Reviews for OUTREACH AND CLINIC SERVICES

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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.
1629145305
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649241030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 4 + 1 + 0 + 3 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1629145305 is valid because the calculated check digit 5 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
1427125616COUNTY OF PERSON, OFFICE OF COUNTY FINANCE
Organization
Clinic/Center (Public Health, State or Local)355 S MADISON BLVD STE A
ROXBORO, NC 27573
(336) 597-2204
1134399652TRIUMPH, LLC
Organization
Counselor (Professional)355 S MADISON BLVD SUITE C2
ROXBORO, NC 27573
(336) 597-2065
1912160508CAROLINA BEHAVIORAL CARE
Organization
Social Worker (Clinical)355 S MADISON BLVD SUITE C2
ROXBORO, NC 27573
(336) 597-2065
1457515157 KIMBERLY SYNAN
Individual
Student in an Organized Health Care Education/Training Program355 S MADISON BLVD SUITE C2
ROXBORO, NC 27573
(336) 597-2065
1528223989PROGRAM RESOURCE INSTITUTE
Organization
Community/Behavioral Health355 S MADISON BLVD SPACE #15
ROXBORO, NC 27573
(919) 929-5540
1164660551MRS. AMANDA BLOOM M.ED., NCC, LPC
Individual
Counselor (Professional)355 S MADISON BLVD SUITE C1
ROXBORO, NC 27573
(336) 599-8366
1578701389MR. FELIPE KHRISTOPHER BLUE LCAS-P
Individual
Counselor (Addiction (Substance Use Disorder))355 S MADISON BLVD SUITE C1
ROXBORO, NC 27573
(336) 599-8366
1144539768TRIUMPH LLC
Organization
Psychiatry & Neurology (Psychiatry)355 S MADISON BLVD STE. C2
ROXBORO, NC 27573
(336) 597-2065
1477853786MR. PETER CHARLES SOULE LCAS-P
Individual
Counselor (Addiction (Substance Use Disorder))355 S MADISON BLVD SUITE C1
ROXBORO, NC 27573
(336) 599-8366
1952694713 LESLIE HOAGLAND
Individual
Counselor (Addiction (Substance Use Disorder))355 S MADISON BLVD C1
ROXBORO, NC 27573
(336) 599-8366
1225301492 KEVIN T ASHE CSAC
Individual
Counselor (Addiction (Substance Use Disorder))355 S MADISON BLVD
ROXBORO, NC 27573
(336) 599-8366
1952657926 MERRY LEATHERS CSAC
Individual
Counselor (Addiction (Substance Use Disorder))355 S MADISON BLVD
ROXBORO, NC 27573
(336) 599-8366
1972987972 SHENITA PAULETTE MANGUM LCSWA, LCASA
Individual
Social Worker (Clinical)355 S MADISON BLVD SUITE C1
ROXBORO, NC 27573
(336) 599-8366
1710365192 KATHLEEN OCONNELL
Individual
Counselor (Professional)355 S MADISON BLVD SUITE C
ROXBORO, NC 27573
(336) 599-8366
1518034701PERSON COUNTY HEALTH DEPARTMENT
Organization
Clinic/Center (Family Planning, Non-Surgical)355 S MADISON BLVD STE A
ROXBORO, NC 27573
(336) 597-2204
1093986523FREEDOM HOUSE RECOVERY CENTER, INC.
Organization
Community/Behavioral Health355 S MADISON BLVD STE C1
ROXBORO, NC 27573
(336) 599-8366
1437807427MS. BRENDA BROWN PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)355 S MADISON BLVD STE C1
ROXBORO, NC 27573
(833) 800-1505
1700069077CAROLINA BEHAVIORAL CARE
Organization
Psychiatry & Neurology (Psychiatry)355 S MADISON BLVD SUITE C2
ROXBORO, NC 27573
(336) 597-2065
1174386478MRS. WINSTONA DAISY COLE
Individual
Counselor (Mental Health)355 S MADISON BLVD
ROXBORO, NC 27573
(336) 599-8366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629145305, enumerated in the NPI registry as an "organization" on November 29, 2006

The provider is located at 355 S Madison Blvd Ste A Roxboro, Nc 27573 and the phone number is (336) 597-2204

This medical organization specializes in Clinic/Center with taxonomy code 261QP0905X with a focus in Public Health, State or Local

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 34D2150229 for a "other - jail medical unit" 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 November 29, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.