NCMC MEDICAL AND SURGICAL CLINIC
NPI 1003310756
Family Medicine in Vivian, LA

NPI Status: Active since March 19, 2018

Contact Information

815 S PINE ST
VIVIAN, LA
ZIP 71082
Phone: (318) 375-4007

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  • Organization
  • Family Medicine
  • CLIA Number: 19D0694058
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 07-19-2027

About NCMC MEDICAL AND SURGICAL CLINIC

This page provides the complete NPI Profile along with additional information for Ncmc Medical And Surgical Clinic, a primary care provider established in Vivian, Louisiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003310756 assigned on March 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ncmc Medical And Surgical Clinic. The authorized official of this NPI record is Mr. Dakota Robinson (Cfo)

NPI
1003310756
Provider Legal Name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Other Organization Name
NCMC MEDICAL AND SURGICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
815 S PINE ST VIVIAN, LA 71082
Location Phone
(318) 375-4007
Mailing Address
815 S PINE ST VIVIAN, LA 71082
Mailing Phone
(318) 375-4007
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-19-2018
Last Update Date
05-13-2022
Code Navigator

A primary care provider (PCP) like Ncmc Medical And Surgical 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. DAKOTA ROBINSON

Authorized Official Title
CFO
Authorized Official Phone
(318) 375-4097

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
1038130MEDICAID (05)LA 

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
19D0694058
Facility Type
Rural Health Clinic
Certificate Effective Date
July 20, 2025
Certificate Expiration Date
July 19, 2027
Laboratory Director
CHARLES G. GUEST
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Ncmc Medical And Surgical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for NCMC MEDICAL AND SURGICAL CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003310756, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 1 + 0 + 7 + 1 + 0 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003310756.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Clinic/Center (Dental)
815 S PINE ST
VIVIAN, LA 71082
General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Clinic/Center (Rural Health)
815 S PINE ST
VIVIAN, LA 71082
Family Medicine
815 S PINE ST
VIVIAN, LA 71082
Dentist
815 S PINE ST
VIVIAN, LA 71082
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Family Medicine
815 S PINE ST
VIVIAN, LA 71082
Ambulance
815 S PINE ST
VIVIAN, LA 71082
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Nurse Practitioner (Family)
815 S PINE ST
VIVIAN, LA 71082
Dentist (General Practice)
815 S PINE ST
VIVIAN, LA 71082
Radiology (Diagnostic Radiology)
815 S PINE ST
VIVIAN, LA 71082
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Nurse Practitioner (Family)
815 S PINE ST
VIVIAN, LA 71082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003310756, enumerated as an "organization" on March 19, 2018.

The provider is located at 815 S PINE ST VIVIAN, LA 71082 and the phone number is (318) 375-4007.

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 verify.