417 HEALTH & WELLNESS
NPI 1881193670
Clinic/Center - Primary Care in Springfield, MO

NPI Status: Active since February 07, 2018

Contact Information

1850 S STEWART AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 368-3489

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 26D2142443
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-10-2026

About 417 HEALTH & WELLNESS

This page provides the complete NPI Profile along with additional information for 417 Health & Wellness, a primary care provider established in Springfield, Missouri operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1881193670 assigned on February 2018. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Justin Joiner Fnp-c (Fnp-c)

NPI
1881193670
Provider Name
417 HEALTH & WELLNESS
Entity Type
Organization
Location Address
1850 S STEWART AVE SPRINGFIELD, MO 65804
Location Phone
(417) 368-3489
Mailing Address
1850 S STEWART AVE SPRINGFIELD, MO 65804
Mailing Phone
(417) 368-3489
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2018
Last Update Date
02-07-2018
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A primary care provider (PCP) like 417 Health & Wellness 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 .

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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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

JUSTIN JOINER FNP-C

Authorized Official Title
FNP-C
Authorized Official Phone
(417) 368-3489

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
26D2142443
Facility Type
Community Clinic
Certificate Effective Date
January 11, 2024
Certificate Expiration Date
January 10, 2026
Laboratory Director
JUSTIN JOINER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 417 Health & Wellness 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 417 HEALTH & WELLNESS

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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.
1881193670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28161296614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 2 + 9 + 6 + 6 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1881193670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881193670, enumerated in the NPI registry as an "organization" on February 07, 2018

The provider is located at 1850 S Stewart Ave Springfield, Mo 65804 and the phone number is (417) 368-3489

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

The provider's CLIA number is 26D2142443 for a "community 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 February 07, 2018. 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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