FAMILY MEDICAL CLINIC OF OKOLONA
NPI 1922174655
Clinic/Center in Okolona, MS

NPI Status: Active since November 27, 2006

Contact Information

518 WEST DR
OKOLONA, MS
ZIP 38860
Phone: (662) 447-1405
Fax: (662) 447-1408

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  • Organization
  • Clinic/Center

About FAMILY MEDICAL CLINIC OF OKOLONA

This page provides the complete NPI Profile along with additional information for Family Medical Clinic Of Okolona, a provider established in Okolona, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1922174655 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Family Medical Clinic Of Okolona. The authorized official of this NPI record is Ms. Sheila Brockman (Ceo)

NPI
1922174655
Provider Legal Name
SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Other Organization Name
FAMILY MEDICAL CLINIC OF OKOLONA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
518 WEST DR OKOLONA, MS 38860
Location Phone
(662) 447-1405
Location Fax
(662) 447-1408
Mailing Address
521 WEST DR OKOLONA, MS 38860
Mailing Phone
(662) 447-1405
Mailing Fax
(662) 447-1408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2006
Last Update Date
01-18-2024
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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

MS. SHEILA BROCKMAN

Authorized Official Title
CEO
Authorized Official Phone
(662) 456-3700

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
07728748MEDICAID (05)MS 

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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.
1922174655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942278610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 7 + 8 + 6 + 1 + 0 + 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 1922174655 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
1710101902CHICKASAW FMC
Organization
Family Medicine518 WEST DR
OKOLONA, MS 38860
(662) 447-2255
1427064344 JOY S CHAPMAN NP
Individual
Nurse Practitioner518 WEST DR
OKOLONA, MS 38860
(662) 447-6170
1134236870SOUTHERN HEALTH CORP OF HOUSTON, INC.
Organization
Clinic/Center (Rural Health)518 WEST DR
OKOLONA, MS 38860
(662) 447-6170
1720845100PROGRESSIVE HEALTH OF HOUSTON, LLC
Organization
Clinic/Center (Rural Health)518 WEST DR
OKOLONA, MS 38860
(662) 447-6170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922174655, enumerated in the NPI registry as an "organization" on November 27, 2006

The provider is located at 518 West Dr Okolona, Ms 38860 and the phone number is (662) 447-1405

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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.

This NPI record was last updated on November 27, 2006. 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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