LACKEY FREE FAMILY MEDICINE CLINIC
NPI 1699082446
Clinic/Center - Primary Care in Yorktown, VA

NPI Status: Active since August 31, 2010

Contact Information

1620 OLD WILLIAMSBURG RD
YORKTOWN, VA
ZIP 23690
Phone: (757) 886-0608
Fax: (757) 369-3821

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  • Organization
  • Clinic/Center
  • Primary Care

About LACKEY FREE FAMILY MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Lackey Free Family Medicine Clinic, a primary care provider established in Yorktown, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1699082446 assigned on August 2010. The practitioner's primary taxonomy code is 261QP2300X with license number 0024164154 (VA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Lackey Free Family Medicine Clinic. The authorized official of this NPI record is Mr. Robert Bradley Jr. Social Worker (Executive Director)

NPI
1699082446
Provider Legal Name
OLIVET MEDICAL MINISTRY
Other Organization Name
LACKEY FREE FAMILY MEDICINE CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1620 OLD WILLIAMSBURG RD YORKTOWN, VA 23690
Location Phone
(757) 886-0608
Location Fax
(757) 369-3821
Mailing Address
1620 OLD WILLIAMSBURG RD YORKTOWN, VA 23690
Mailing Phone
(757) 886-0608
Mailing Fax
(757) 369-3821
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2010
Last Update Date
08-31-2010
Code Navigator

A primary care provider (PCP) like Lackey Free Family Medicine Clinic 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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
0024164154
License State
VA

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

MR. ROBERT BRADLEY JR. SOCIAL WORKER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(757) 886-0608

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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.
1699082446
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618908448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 0 + 8 + 4 + 4 + 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 1699082446 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669602314 MARGARET H JOHNSON FNP
Individual
Nurse Practitioner (Family)1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608
1720376676MRS. JEAN NMN KEATING ANP
Individual
Clinical Nurse Specialist (Adult Health)1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608
1437447315MRS. YOLANDA ANGUS FNP
Individual
Nurse Practitioner (Family)1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608
1427582352OLIVET MEDICAL MINISTRY, INC
Organization
Pharmacy (Clinic Pharmacy)1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608
1083682272DR. JILL S COTTEL MD
Individual
Internal Medicine1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608
1205564309 RACHEL MURRAY MCCLURE
Individual
Nurse Practitioner (Family)1620 OLD WILLIAMSBURG RD
YORKTOWN, VA 23690
(757) 886-0608

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699082446, enumerated in the NPI registry as an "organization" on August 31, 2010

The provider is located at 1620 Old Williamsburg Rd Yorktown, Va 23690 and the phone number is (757) 886-0608

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

This NPI record was last updated on August 31, 2010. 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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