WAKEFIELD FAMILY PHYSICIANS
NPI 1639172323
Clinic/Center - Health Service in Wakefield, KS

NPI Status: Active since May 27, 2005

Contact Information

709 ELM ST
WAKEFIELD, KS
ZIP 67487
Phone: (785) 461-5457

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 17D0452428
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2026

About WAKEFIELD FAMILY PHYSICIANS

This page provides the complete NPI Profile along with additional information for Wakefield Family Physicians, a provider established in Wakefield, Kansas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1639172323 assigned on May 2005. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Wakefield Family Physicians. The authorized official of this NPI record is Roxanne Schottel (Administrative Supervisor)

NPI
1639172323
Provider Legal Name
CLAY CENTER FAMILY PHYSICIANS
Other Organization Name
WAKEFIELD FAMILY PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
709 ELM ST WAKEFIELD, KS 67487
Location Phone
(785) 461-5457
Mailing Address
609 LIBERTY ST CLAY CENTER, KS 67432
Mailing Phone
(785) 632-2181
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2005
Last Update Date
08-22-2020
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

ROXANNE SCHOTTEL

Authorized Official Title
ADMINISTRATIVE SUPERVISOR
Authorized Official Phone
(785) 632-2181

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
17D0452428
Facility Type
Physician Office
Certificate Effective Date
July 01, 2024
Certificate Expiration Date
June 30, 2026
Laboratory Director
SUSAN L. SPEAKS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wakefield Family Physicians 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.
1639172323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266927434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 7 + 4 + 3 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639172323 is valid because the calculated check digit 3 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 1639172323, enumerated in the NPI registry as an "organization" on May 27, 2005

The provider is located at 709 Elm St Wakefield, Ks 67487 and the phone number is (785) 461-5457

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider's CLIA number is 17D0452428 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 May 27, 2005. 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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