KCEAA HEALTH AND WELLNESS CLINIC
NPI 1033778642
Clinic/Center - Primary Care in Charleston, WV

NPI Status: Active since June 07, 2019

Contact Information

601 BROOKS ST
CHARLESTON, WV
ZIP 25301
Phone: (304) 346-8877
Fax: (304) 414-5218

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 51D1020152
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 10-31-2027

About KCEAA HEALTH AND WELLNESS CLINIC

This page provides the complete NPI Profile along with additional information for Kceaa Health And Wellness Clinic, a primary care provider established in Charleston, West Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1033778642 assigned on June 2019. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Kceaa Health And Wellness Clinic. The authorized official of this NPI record is Monica Leah Mason Fnp-bc (Executive Dir, Chief Of Med Service)

NPI
1033778642
Provider Legal Name
KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY HEALTH AND WELLNESS BOARD
Other Organization Name
KCEAA HEALTH AND WELLNESS CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
601 BROOKS ST CHARLESTON, WV 25301
Location Phone
(304) 346-8877
Location Fax
(304) 414-5218
Mailing Address
601 BROOKS ST CHARLESTON, WV 25301
Mailing Phone
(304) 346-8877
Mailing Fax
(304) 414-5218
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2019
Last Update Date
08-10-2021
Code Navigator

A primary care provider (PCP) like Kceaa Health And Wellness 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO

*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

MONICA LEAH MASON FNP-BC

Authorized Official Title
EXECUTIVE DIR, CHIEF OF MED SERVICE
Authorized Official Phone
(304) 345-2312

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
51D1020152
Facility Type
Ambulance
Certificate Effective Date
November 01, 2025
Certificate Expiration Date
October 31, 2027
Laboratory Director
DR. DAVE E. SEIDLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kceaa Health And Wellness 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.

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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 1033778642, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 3 → 6 7 → 14 → 5 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 1 + 4 + 7 + 1 + 6 + 6 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1033778642.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
601 BROOKS ST
CHARLESTON, WV 25301
Nurse Practitioner (Family)
601 BROOKS ST
CHARLESTON, WV 25301
Ambulance (Land Transport)
601 BROOKS ST
CHARLESTON, WV 25301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033778642, enumerated as an "organization" on June 07, 2019.

The provider is located at 601 BROOKS ST CHARLESTON, WV 25301 and the phone number is (304) 346-8877.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.