ADVANCED FAMILY HEALTHCARE CLINIC
NPI 1124195391
Clinic/Center in Poplar Bluff, MO

NPI Status: Active since November 30, 2006

Contact Information

2002 KANELL BLVD
SUITE 101
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 778-9292
Fax: (573) 778-0801

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  • Organization
  • Clinic/Center

About ADVANCED FAMILY HEALTHCARE CLINIC

This page provides the complete NPI Profile along with additional information for Advanced Family Healthcare Clinic, a provider established in Poplar Bluff, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124195391 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Advanced Family Healthcare Clinic. The authorized official of this NPI record is Paula E. Harris Not Applicable (Chief Executive Officer)

NPI
1124195391
Provider Legal Name
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Other Organization Name
ADVANCED FAMILY HEALTHCARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2002 KANELL BLVD SUITE 101 POPLAR BLUFF, MO 63901
Location Phone
(573) 778-9292
Location Fax
(573) 778-0801
Mailing Address
PO BOX 989 POPLAR BLUFF, MO 63902
Mailing Phone
(573) 778-0020
Mailing Fax
(573) 778-0801
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-30-2006
Last Update Date
07-10-2009
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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
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).

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.

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

PAULA E. HARRIS NOT APPLICABLE

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(573) 778-0020

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
000013896MEDICARE PIN (08)MO 
268573MEDICARE OSCAR/CERTIFICATION (06) 

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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 1124195391, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 2 → 4 1 → 2 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 9 + 1 + 0 + 3 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124195391.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
2002 KANELL BLVD, STE 205
POPLAR BLUFF, MO 63901
Podiatrist (Foot & Ankle Surgery)
2002 KANELL BLVD, SUITE 201
POPLAR BLUFF, MO 63901
Family Medicine
2002 KANELL BLVD, SUITE 103
POPLAR BLUFF, MO 63901
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, SUITE 102
POPLAR BLUFF, MO 63901
Clinic/Center (Ambulatory Surgical)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Podiatric)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner (Primary Care)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2002 KANELL BLVD, SUITE 103
POPLAR BLUFF, MO 63901
Family Medicine
2002 KANELL BLVD, SUITE 106
POPLAR BLUFF, MO 63901
Family Medicine
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, STE 102
POPLAR BLUFF, MO 63901
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Radiology)
2002 KANELL BLVD, SUITE 104
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Rural Health)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124195391, enumerated as an "organization" on November 30, 2006.

The provider is located at 2002 KANELL BLVD SUITE 101 POPLAR BLUFF, MO 63901 and the phone number is (573) 778-9292.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.