NEVADA MEDICAL CLINIC
NPI 1023080504
Family Medicine in Nevada, IA

NPI Status: Active since February 07, 2006

Contact Information

640 S 19TH ST
NEVADA, IA
ZIP 50201
Phone: (515) 382-5413
Fax: (515) 382-7107

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 16D2006973
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 03-28-2027

About NEVADA MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Nevada Medical Clinic, a primary care provider established in Nevada, Iowa operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1023080504 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 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 Nevada Medical Clinic. The authorized official of this NPI record is Mrs. Kemberlee S Packer (Credentialing Specialist)

NPI
1023080504
Provider Legal Name
STORY COUNTY HOSPITAL
Other Organization Name
NEVADA MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
640 S 19TH ST NEVADA, IA 50201
Location Phone
(515) 382-5413
Location Fax
(515) 382-7107
Mailing Address
640 S 19TH ST NEVADA, IA 50201
Mailing Phone
(515) 382-5413
Mailing Fax
(515) 382-7107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2006
Last Update Date
02-10-2017
Code Navigator

A primary care provider (PCP) like Nevada Medical 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:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

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.

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

MRS. KEMBERLEE S PACKER

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(515) 382-7101

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
48680OTHER (01)IAWELLMARK BCBS
05739MEDICARE ID-TYPE UNSPECIFIED (04)IA 
0251553MEDICAID (05)IA 

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
16D2006973
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
March 29, 2025
Certificate Expiration Date
March 28, 2027
Laboratory Director
HECTOR M. SALAMANCA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Nevada Medical 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 NEVADA MEDICAL 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 1023080504, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 2 → 4 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 0 + 8 + 0 + 5 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1023080504.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
640 S 19TH ST
NEVADA, IA 50201
General Acute Care Hospital (Critical Access)
640 S 19TH ST
NEVADA, IA 50201
Medicare Defined Swing Bed Unit
640 S 19TH ST
NEVADA, IA 50201
Emergency Medicine
640 S 19TH ST
NEVADA, IA 50201
Physical Therapy Assistant
640 S 19TH ST
NEVADA, IA 50201
Occupational Therapist
640 S 19TH ST
NEVADA, IA 50201
Preventive Medicine (Occupational Medicine)
640 S 19TH ST
NEVADA, IA 50201
Physical Therapist
640 S 19TH ST
NEVADA, IA 50201
Nursing Facility/Intermediate Care Facility
640 S 19TH ST
NEVADA, IA 50201
Nurse Anesthetist, Certified Registered
640 S 19TH ST
NEVADA, IA 50201
Physician Assistant
640 S 19TH ST
NEVADA, IA 50201
Physical Therapist
640 S 19TH ST
NEVADA, IA 50201
Nurse Anesthetist, Certified Registered
640 S 19TH ST
NEVADA, IA 50201
Physical Therapist
640 S 19TH ST
NEVADA, IA 50201
Occupational Therapist
640 S 19TH ST
NEVADA, IA 50201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023080504, enumerated as an "organization" on February 07, 2006.

The provider is located at 640 S 19TH ST NEVADA, IA 50201 and the phone number is (515) 382-5413.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medica, Blue Cross Blue Shield, Wellmark, Medicare. Please consult your insurance carrier or call the provider to verify.