POLK COUNTY SENATE BILL 40
NPI 1104167923
Case Management in Bolivar, MO
NPI Status: Active since March 04, 2013
Contact Information
4746 S 131ST RD
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-3000
- Organization
- Case Management
- CLIA Number: 26D2150757
- CLIA Cert. Type: Other - COUNTY JAIL
- CLIA Exp. Date: 07-02-2026
About POLK COUNTY SENATE BILL 40
This page provides the complete NPI Profile along with additional information for Polk County Senate Bill 40, a provider established in Bolivar, Missouri operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1104167923 assigned on March 2013. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Arlene Lear (Polk County Board Chair)
- NPI
- 1104167923
- Provider Name
- POLK COUNTY SENATE BILL 40
- Entity Type
- Organization
- Location Address
- 4746 S 131ST RD BOLIVAR, MO 65613
- Location Phone
- (417) 777-3000
- Mailing Address
- PO BOX 944 BOLIVAR, MO 65613
- Mailing Phone
- (417) 777-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2013
- Last Update Date
- 05-14-2013
- 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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
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
- 26D2150757
- Facility Type
- Other - COUNTY JAIL
- Certificate Effective Date
- July 03, 2024
- Certificate Expiration Date
- July 02, 2026
- Laboratory Director
- MICHAEL R. JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Polk County Senate Bill 40 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 1104167923, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104167923, enumerated as an "organization" on March 04, 2013.
The provider is located at 4746 S 131ST RD BOLIVAR, MO 65613 and the phone number is (417) 777-3000.
Case Management with taxonomy code 251B00000X.
