180 HEALTH MEDICAL AND WELLNESS CENTER
NPI 1649815796
General Practice in Springfield, MO

NPI Status: Active since November 13, 2019

Contact Information

1936 S GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 827-0450

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  • Organization
  • General Practice
  • CLIA Number: 26D2178191
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-27-2026

About 180 HEALTH MEDICAL AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for 180 Health Medical And Wellness Center, a primary care provider established in Springfield, Missouri operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1649815796 assigned on November 2019. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 180 Health Medical And Wellness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as 180 Health Medical And Wellness Center. The authorized official of this NPI record is Tara Meek (Owner)

NPI
1649815796
Provider Legal Name
180 HEALTH LIFESTYLE WELLNESS CENTERS
Other Organization Name
180 HEALTH MEDICAL AND WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1936 S GLENSTONE AVE SPRINGFIELD, MO 65804
Location Phone
(417) 827-0450
Mailing Address
1936 S GLENSTONE AVE SPRINGFIELD, MO 65804
Mailing Phone
(417) 827-0450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2019
Last Update Date
07-28-2020
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A primary care provider (PCP) like 180 Health Medical And Wellness Center 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

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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

TARA MEEK

Authorized Official Title
OWNER
Authorized Official Phone
(417) 887-0340

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
26D2178191
Facility Type
Physician Office
Certificate Effective Date
January 28, 2024
Certificate Expiration Date
January 27, 2026
Laboratory Director
MICHELLE L. BAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 180 Health Medical And Wellness Center 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.
1649815796
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268916110718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 6 + 1 + 1 + 0 + 7 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1649815796 is valid because the calculated check digit 6 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 1649815796, enumerated in the NPI registry as an "organization" on November 13, 2019

The provider is located at 1936 S Glenstone Ave Springfield, Mo 65804 and the phone number is (417) 827-0450

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

The provider's CLIA number is 26D2178191 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 November 13, 2019. 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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