HOMEPLACE CLINIC PRESTONSBURG
NPI 1023517679
Clinic/Center - Federally Qualified Health Center (FQHC) in Prestonsburg, KY

NPI Status: Active since February 09, 2018

Contact Information

104 S FRONT AVE
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-8572
Fax: (606) 886-4433

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 18D2228283
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-23-2027

About HOMEPLACE CLINIC PRESTONSBURG

This page provides the complete NPI Profile along with additional information for Homeplace Clinic Prestonsburg, a primary care provider established in Prestonsburg, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1023517679 assigned on February 2018. The practitioner's primary taxonomy code is 261QF0400X with license number 700264 (KY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Homeplace Clinic Prestonsburg. The authorized official of this NPI record is Roxann Cordial (Credentialing)

NPI
1023517679
Provider Legal Name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Other Organization Name
HOMEPLACE CLINIC PRESTONSBURG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
104 S FRONT AVE PRESTONSBURG, KY 41653
Location Phone
(606) 886-8572
Location Fax
(606) 886-4433
Mailing Address
104 S FRONT AVE PRESTONSBURG, KY 41653
Mailing Phone
(606) 886-8572
Mailing Fax
(606) 886-4433
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-09-2018
Last Update Date
02-13-2018
Code Navigator

A primary care provider (PCP) like Homeplace Clinic Prestonsburg 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
700264
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - 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

ROXANN CORDIAL

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(606) 886-8572

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
18D2228283
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 24, 2025
Certificate Expiration Date
June 23, 2027
Laboratory Director
DR. KRISTIN FREEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Homeplace Clinic Prestonsburg 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 HOMEPLACE CLINIC PRESTONSBURG

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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 1023517679, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 1 + 0 + 1 + 1 + 4 + 6 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1023517679.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Social Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
Social Worker (Clinical)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Social Worker (Clinical)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Psychologist (Clinical)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Registered Nurse (Psychiatric/Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Day Training/Habilitation Specialist
104 S FRONT AVE
PRESTONSBURG, KY 41653
Social Worker (Clinical)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Professional)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023517679, enumerated as an "organization" on February 09, 2018.

The provider is located at 104 S FRONT AVE PRESTONSBURG, KY 41653 and the phone number is (606) 886-8572.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.