MOULTON PRIMARY CARE CLINIC
NPI 1760930200
Clinic/Center - Rural Health in Moulton, AL
NPI Status: Active since September 13, 2016
Contact Information
40 MEDICAL CIR
MOULTON, AL
ZIP 35650
Phone: (256) 974-0606
Fax: (256) 522-2227
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 01D2116647
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-28-2026
About MOULTON PRIMARY CARE CLINIC
This page provides the complete NPI Profile along with additional information for Moulton Primary Care Clinic, a primary care provider established in Moulton, Alabama operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1760930200 assigned on September 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Moulton Primary Care Clinic. The authorized official of this NPI record is Christy Louallen (Credentialing/billing Supervisor)
- NPI
- 1760930200
- Provider Legal Name
- ATTENTUS MOULTON, LLC
- Other Organization Name
- MOULTON PRIMARY CARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 40 MEDICAL CIR MOULTON, AL 35650
- Location Phone
- (256) 974-0606
- Location Fax
- (256) 522-2227
- Mailing Address
- PO BOX 340 MOULTON, AL 35650
- Mailing Phone
- (256) 974-2207
- Mailing Fax
- (256) 522-2227
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2016
- Last Update Date
- 07-25-2019
- Code Navigator
A primary care provider (PCP) like Moulton Primary Care 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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*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
- 01D2116647
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 29, 2024
- Certificate Expiration Date
- July 28, 2026
- Laboratory Director
- FAYE WILSON MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Moulton Primary Care Clinic 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 | 6 | 0 | 9 | 3 | 0 | 2 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 3 | 0 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 3 + 0 + 2 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1760930200 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548581705 | INTREPID INTERNAL MEDICINE PC Organization | Internal Medicine | 40 MEDICAL CIR MOULTON, AL 35650 (256) 974-0606 |
| 1801979075 | CHARLES D COFFEY MD PC Organization | Family Medicine | 40 MEDICAL CIR MOULTON, AL 35650 (256) 974-0606 |
| 1649239922 | MRS. GINI M MONTGOMERY CRNP Individual | Nurse Practitioner | 40 MEDICAL CIR MOULTON, AL 35650 (256) 974-0606 |
| 1114393410 | EARRACE MORRIS CRNP Individual | Nurse Practitioner (Acute Care) | 40 MEDICAL CIR MOULTON, AL 35650 (256) 974-0606 |
| 1932991544 | HH HEALTH SYSTEM - MORGAN, LLC Organization | Clinic/Center (Rural Health) | 40 MEDICAL CIR MOULTON, AL 35650 (256) 974-0606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760930200, enumerated in the NPI registry as an "organization" on September 13, 2016
The provider is located at 40 Medical Cir Moulton, Al 35650 and the phone number is (256) 974-0606
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 01D2116647 for a "rural health clinic" 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 13, 2016. 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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