PRIMARY CARE OF PINE BLUFF
NPI 1053484782
Clinic/Center in Pine Bluff, AR
NPI Status: Active since November 17, 2006
Contact Information
1400 CLAUD RD
PINE BLUFF, AR
ZIP 71602
Phone: (870) 247-9499
- Organization
- Clinic/Center
- CLIA Number: 04D2299381
- CLIA Cert. Type: Other - INPATIENT REHAB FACILITY
- CLIA Exp. Date: 02-19-2026
About PRIMARY CARE OF PINE BLUFF
This page provides the complete NPI Profile along with additional information for Primary Care Of Pine Bluff, a provider established in Pine Bluff, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1053484782 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X with license number E2876 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Primary Care Of Pine Bluff. The authorized official of this NPI record is Mr. Robert P Atkinson (Ceo & President)
- NPI
- 1053484782
- Provider Legal Name
- JEFFERSON HOSPITAL ASSOCIATION
- Other Organization Name
- PRIMARY CARE OF PINE BLUFF
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1400 CLAUD RD PINE BLUFF, AR 71602
- Location Phone
- (870) 247-9499
- Mailing Address
- 1400 CLAUD RD WHITE HALL, AR 71602
- Mailing Phone
- (870) 247-9499
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2006
- Last Update Date
- 06-19-2008
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- E2876
- License State
- AR
- 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).
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
- 04D2299381
- Facility Type
- Other - INPATIENT REHAB FACILITY
- Certificate Effective Date
- February 20, 2024
- Certificate Expiration Date
- February 19, 2026
- Laboratory Director
- MS. REBEKAH DAVIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Primary Care Of Pine Bluff 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 1053484782, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053484782, enumerated as an "organization" on November 17, 2006.
The provider is located at 1400 CLAUD RD PINE BLUFF, AR 71602 and the phone number is (870) 247-9499.
Clinic/Center with taxonomy code 261Q00000X.
