SUMMERSVILLE OUT PATIENT CENTER
NPI 1750378345
Family Medicine in Summersville, WV
NPI Status: Active since September 29, 2005
Contact Information
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
ZIP 26651
Phone: (304) 872-5124
Fax: (304) 872-0675
- Organization
- Family Medicine
- CLIA Number: 51D0933140
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-07-2025
About SUMMERSVILLE OUT PATIENT CENTER
This page provides the complete NPI Profile along with additional information for Summersville Out Patient Center, a primary care provider established in Summersville, West Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750378345 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 61 (WV). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Debbie Hill Mba (Ceo)
- NPI
- 1750378345
- Provider Name
- SUMMERSVILLE OUT PATIENT CENTER
- Entity Type
- Organization
- Location Address
- 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651
- Location Phone
- (304) 872-5124
- Location Fax
- (304) 872-0675
- Mailing Address
- 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651
- Mailing Phone
- (304) 872-5124
- Mailing Fax
- (304) 872-0675
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2005
- Last Update Date
- 09-22-2010
- Code Navigator
A primary care provider (PCP) like Summersville Out Patient 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 61
- License State
- WV
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | 61 (WV) |
| 2 | 291U00000X | Laboratories | Clinical Medical Laboratory | 51D0933140 (WV) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0034931000 | MEDICAID (05) | WV | |
| SU9208641 | MEDICARE ID-TYPE UNSPECIFIED (04) | WV | |
| 0034931003 | MEDICAID (05) | WV |
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
- 51D0933140
- Facility Type
- Physician Office
- Certificate Effective Date
- September 08, 2023
- Certificate Expiration Date
- September 07, 2025
- Laboratory Director
- MARVIN J. WURTH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summersville Out Patient 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. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 7 | 8 | 3 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 7 | 16 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 6 + 3 + 8 + 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 = 5 | 5 | ||||||||
The NPI number 1750378345 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609863265 | DR. ARTHUR WESLEY OLSON MD Individual | Family Medicine (Adult Medicine) | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-7027 |
| 1578550141 | DR. PAUL JOSEPH CONLEY D.O. Individual | Internal Medicine | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-5124 |
| 1841287422 | DR. MARVIN JEROME WURTH M.D. Individual | Internal Medicine | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-5124 |
| 1275520868 | DR. MICHAEL W LASSERE MD Individual | Obstetrics & Gynecology | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-5381 |
| 1922080837 | DR. ROBERT FLEER MD Individual | Emergency Medicine | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-2891 |
| 1215919139 | THOMAS REYNOLDS CRNA Individual | Nurse Anesthetist, Certified Registered | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-2891 |
| 1922080407 | JOHN TIMOTHY LEWIS NP Individual | Nurse Practitioner | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-2891 |
| 1881673192 | ELMER L NAGYE JR. PA-C Individual | Physician Assistant (Medical) | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-5124 |
| 1134197882 | SUMMERSVILLE PEDIATRICS INC. Organization | Specialist | 400 FAIRVIEW HEIGHTS RD SUITE 302 SUMMERSVILLE, WV 26651 (304) 872-7063 |
| 1518042761 | DR. HALBERTO G. CRUZ M.D. Individual | Radiology (Diagnostic Radiology) | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 645-4043 |
| 1427274786 | SUMMERSVILLE MEMORIAL HOSPITAL Organization | Durable Medical Equipment & Medical Supplies | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-2891 |
| 1760676761 | MR. BRIAN THOMAS JARRELL PA-C Individual | Physician Assistant (Medical) | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-2891 |
| 1285821561 | MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE Organization | Neuromusculoskeletal Medicine, Sports Medicine | 400 FAIRVIEW HEIGHTS RD STE. 301 SUMMERSVILLE, WV 26651 (304) 880-7988 |
| 1316129943 | FAIRVIEW EMERGENCY PHYSICIANS Organization | Emergency Medicine | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-8991 |
| 1699758763 | DR. LUKASZ A ROSTOCKI MD Individual | Obstetrics & Gynecology | 400 FAIRVIEW HEIGHTS RD SUITE 201 SUMMERSVILLE, WV 26651 (304) 872-5381 |
| 1316922123 | JUDY MARIE SPENCER PA-C Individual | Physician Assistant | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-8545 |
| 1891770103 | KATHRYN DIANE MORRIS MSN, RN, FNP-BC Individual | Nurse Practitioner | 400 FAIRVIEW HEIGHTS RD SUITE 302 SUMMERSVILLE, WV 26651 (304) 872-7063 |
| 1427026186 | PURIFICACION SALGADO M.D. Individual | Specialist | 400 FAIRVIEW HEIGHTS RD SUITE 302 SUMMERSVILLE, WV 26651 (304) 872-7063 |
| 1326016783 | MARK TOMSHO M.D. Individual | Specialist | 400 FAIRVIEW HEIGHTS RD SUITE 302 SUMMERSVILLE, WV 26651 (304) 872-7063 |
| 1487071411 | TERESA TAYLOR RPH Individual | Pharmacist | 400 FAIRVIEW HEIGHTS RD SUMMERSVILLE, WV 26651 (304) 872-8481 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750378345, enumerated in the NPI registry as an "organization" on September 29, 2005
The provider is located at 400 Fairview Heights Rd Summersville, Wv 26651 and the phone number is (304) 872-5124
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D0933140 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 September 29, 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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