MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
NPI 1063085421
Clinic/Center - Multi-Specialty in Paducah, KY
NPI Status: Active since July 22, 2021
Contact Information
225 MEDICAL CENTER DR STE 202
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4510
Fax: (270) 441-4512
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 18D1106827
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2027
About MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
This page provides the complete NPI Profile along with additional information for Mercy Health Physicians Kentucky Specialty Care Llc, a provider established in Paducah, Kentucky operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1063085421 assigned on July 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Joseph Hardy (Cfo, Medical Group)
- NPI
- 1063085421
- Provider Name
- MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
- Entity Type
- Organization
- Location Address
- 225 MEDICAL CENTER DR STE 202 PADUCAH, KY 42003
- Location Phone
- (270) 441-4510
- Location Fax
- (270) 441-4512
- Mailing Address
- 225 MEDICAL CENTER DR STE 202 PADUCAH, KY 42003
- Mailing Phone
- (270) 441-4510
- Mailing Fax
- (270) 441-4512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2021
- Last Update Date
- 07-22-2021
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 18D1106827
- Facility Type
- Physician Office
- Certificate Effective Date
- April 05, 2025
- Certificate Expiration Date
- April 04, 2027
- Laboratory Director
- ANGELA WEST
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mercy Health Physicians Kentucky Specialty Care Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1063085421, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PADUCAH, KY 42003
PADUCAH, KY 42003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063085421, enumerated as an "organization" on July 22, 2021.
The provider is located at 225 MEDICAL CENTER DR STE 202 PADUCAH, KY 42003 and the phone number is (270) 441-4510.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
