AUDRAIN COMM CLINIC
NPI 1801471255
Clinic/Center - Rural Health in Mexico, MO

NPI Status: Active since March 16, 2021

Contact Information

600 MEDICAL PARK DR
MEXICO, MO
ZIP 65265
Phone: (573) 581-8500
Fax: (573) 581-5397

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 26D2145672
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 03-12-2026

About AUDRAIN COMM CLINIC

This page provides the complete NPI Profile along with additional information for Audrain Comm Clinic, a primary care provider established in Mexico, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1801471255 assigned on March 2021. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Audrain Comm Clinic. The authorized official of this NPI record is Amy L Obrien (Ceo)

NPI
1801471255
Provider Legal Name
NOBLE HEALTH AUDRAIN INC
Other Organization Name
AUDRAIN COMM CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 MEDICAL PARK DR MEXICO, MO 65265
Location Phone
(573) 581-8500
Location Fax
(573) 581-5397
Mailing Address
600 MEDICAL PARK DR MEXICO, MO 65265
Mailing Phone
(573) 581-8500
Mailing Fax
(573) 581-5397
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-16-2021
Last Update Date
06-23-2022
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A primary care provider (PCP) like Audrain Comm 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:

  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
  • Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

AMY L OBRIEN

Authorized Official Title
CEO
Authorized Official Phone
(573) 582-5000

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
26D2145672
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
March 13, 2024
Certificate Expiration Date
March 12, 2026
Laboratory Director
TIMOTHY A. TANNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Audrain Comm 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.

Reviews for AUDRAIN COMM CLINIC

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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.
1801471255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801872210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 2 + 2 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1801471255 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134122989 SHAHID WAHEED M.D.
Individual
Internal Medicine (Hematology & Oncology)600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1447253216 NORVIN EUGENE THOMAS D.O.
Individual
Internal Medicine (Pulmonary Disease)600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1952309890DR. SHARON PARKER CARMIGNANI M.D.
Individual
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1962698134AUDRAIN HEALTH CARE, INC.
Organization
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1457500704 MATTHEW PATRICK GRIFFIN M.D.
Individual
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1780639799MEXICO MEDICAL SPECIALISTS, L.C.
Organization
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1588796254MEXICO INTERNAL MEDICINE, LLP
Organization
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1134122906 MICHAEL LEE QUINLAN M.D.
Individual
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1326023185DR. PEGGY WANNER-BARJENBRUCH MD
Individual
Internal Medicine600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1518530385 ANDREA LEIGH FEGER FNP-BC
Individual
Nurse Practitioner (Family)600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1801416599 ASHLEE DOUGHERTY PA-C
Individual
Physician Assistant (Medical)600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500
1376380659BOONE PHYSICIAN SERVICES LLC
Organization
Clinic/Center (Rural Health)600 MEDICAL PARK DR
MEXICO, MO 65265
(573) 581-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801471255, enumerated in the NPI registry as an "organization" on March 16, 2021

The provider is located at 600 Medical Park Dr Mexico, Mo 65265 and the phone number is (573) 581-8500

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 26D2145672 for a "other - county jail" 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 March 16, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.