PEDIATRUST COLUMBUS, LLC
NPI 1639606940
Skilled Nursing Facility - Nursing Care, Pediatric in Columbus, MS
NPI Status: Active since May 17, 2017
Contact Information
2213 5TH ST N
COLUMBUS, MS
ZIP 39705
Phone: (662) 570-1957
Fax: (662) 470-1035
- Organization
- Skilled Nursing Facility
- Nursing Care, Pediatric
- Accepts Insurance
- CLIA Number: 25D2125572
- CLIA Cert. Type: Other - PRESCR PED EXTENDED CARE
- CLIA Exp. Date: 02-08-2027
About PEDIATRUST COLUMBUS, LLC
This page provides the complete NPI Profile along with additional information for Pediatrust Columbus, Llc, a provider established in Columbus, Mississippi operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1639606940 assigned on May 2017. The practitioner's primary taxonomy code is 3140N1450X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Leann Craig (Ceo)
- NPI
- 1639606940
- Provider Name
- PEDIATRUST COLUMBUS, LLC
- Entity Type
- Organization
- Location Address
- 2213 5TH ST N COLUMBUS, MS 39705
- Location Phone
- (662) 570-1957
- Location Fax
- (662) 470-1035
- Mailing Address
- 6700 JEFFERSON HIGHWAY, BUILDING 12, STE B BATON ROUGE, LA 70806
- Mailing Phone
- (225) 665-6555
- Mailing Fax
- (662) 470-1035
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2017
- Last Update Date
- 10-23-2023
- Code Navigator
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
Skilled Nursing Facility Nursing Care, Pediatric
- Taxonomy Code
- 3140N1450X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 25D2125572
- Facility Type
- Other - PRESCR PED EXTENDED CARE
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- JAMIE HEATON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatrust Columbus, Llc 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. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 0 | 6 | 9 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 0 | 12 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 0 + 1 + 2 + 9 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639606940 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 1639606940, enumerated in the NPI registry as an "organization" on May 17, 2017
The provider is located at 2213 5th St N Columbus, Ms 39705 and the phone number is (662) 570-1957
This medical organization specializes in Skilled Nursing Facility with taxonomy code 3140N1450X with a focus in Nursing Care, Pediatric
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2125572 for a "other - prescr ped extended care" 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 17, 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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