FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
NPI 1104914480
Clinic/Center - Rural Health in Montezuma, GA
NPI Status: Active since October 11, 2006
Contact Information
502 SUMTER ST
MONTEZUMA, GA
ZIP 31063
Phone: (478) 472-8178
Fax: (478) 472-3289
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 11D0673460
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-14-2026
About FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
This page provides the complete NPI Profile along with additional information for Flint River Rural Health Clinic - Oglethorpe, a primary care provider established in Montezuma, Georgia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1104914480 assigned on October 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Flint River Rural Health Clinic - Oglethorpe. The authorized official of this NPI record is Mr. Michael C Patterson (Chief Executive Officer)
- NPI
- 1104914480
- Provider Legal Name
- BACCHUS OPERATIONS GROUP, INC.
- Other Organization Name
- FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 502 SUMTER ST MONTEZUMA, GA 31063
- Location Phone
- (478) 472-8178
- Location Fax
- (478) 472-3289
- Mailing Address
- 509 SUMTER ST P.O. BOX 770 (31063-2502) MONTEZUMA, GA 31063
- Mailing Phone
- (478) 472-3100
- Mailing Fax
- (478) 472-3289
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2006
- Last Update Date
- 06-10-2014
- Code Navigator
A primary care provider (PCP) like Flint River Rural Health Clinic - Oglethorpe 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 Rural Health
- Taxonomy Code
- 261QR1300X
- 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113431 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 00014987C | MEDICAID (05) | GA |
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
- 11D0673460
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- QUINCY J. JORDAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Flint River Rural Health Clinic - Oglethorpe 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.
Reviews for FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1104914480, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MONTEZUMA, GA 31063
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104914480, enumerated as an "organization" on October 11, 2006.
The provider is located at 502 SUMTER ST MONTEZUMA, GA 31063 and the phone number is (478) 472-8178.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
