GUADALUPE CLINIC, INC.
NPI 1710144985
Voluntary or Charitable in Wichita, KS

NPI Status: Active since May 16, 2008

Contact Information

940 S SAINT FRANCIS ST
WICHITA, KS
ZIP 67211
Phone: (316) 264-8974
Fax: (316) 262-4938

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  • Organization
  • Voluntary or Charitable
  • CLIA Number: 17D2067435
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-14-2025

About GUADALUPE CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Guadalupe Clinic, Inc., a provider established in Wichita, Kansas operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1710144985 assigned on May 2008. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Marlene M Dreiling R.n. (Executive Director)

NPI
1710144985
Provider Name
GUADALUPE CLINIC, INC.
Entity Type
Organization
Location Address
940 S SAINT FRANCIS ST WICHITA, KS 67211
Location Phone
(316) 264-8974
Location Fax
(316) 262-4938
Mailing Address
940 S SAINT FRANCIS ST WICHITA, KS 67211
Mailing Phone
(316) 264-8974
Mailing Fax
(316) 262-4938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2008
Last Update Date
05-16-2008
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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

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies
License State
KS

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

MRS. MARLENE M DREILING R.N.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(316) 264-8974

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
17D2067435
Facility Type
Community Clinic
Certificate Effective Date
October 15, 2023
Certificate Expiration Date
October 14, 2025
Laboratory Director
JENNIFER LARSEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Guadalupe Clinic, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1710144985
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720248916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 4 + 8 + 9 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1710144985 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205922176 JAMES M. VAN MILLIGEN P.A.
Individual
Physician Assistant940 S SAINT FRANCIS ST
WICHITA, KS 67211
(316) 264-8974
1629636147 ANDREW SENGCHANH PA-C
Individual
Physician Assistant940 S SAINT FRANCIS ST
WICHITA, KS 67211
(316) 264-6464
1356571822DR. EMILY MARIA JOHNSON OD
Individual
Optometrist940 S SAINT FRANCIS ST
WICHITA, KS 67211
(316) 264-6464
1942021464 LIPILEKHA MUKHERJEE MD
Individual
Student in an Organized Health Care Education/Training Program940 S SAINT FRANCIS ST
WICHITA, KS 67211
(316) 264-6464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710144985, enumerated in the NPI registry as an "organization" on May 16, 2008

The provider is located at 940 S Saint Francis St Wichita, Ks 67211 and the phone number is (316) 264-8974

This medical organization specializes in Voluntary or Charitable with taxonomy code 251V00000X

The provider's CLIA number is 17D2067435 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 16, 2008. 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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