QUINCY MEDICAL GROUP KAHOKA AFFILIATE
NPI 1124770201
Durable Medical Equipment & Medical Supplies in Kahoka, MO
NPI Status: Active since January 20, 2022
Contact Information
133 E MAIN ST
KAHOKA, MO
ZIP 63445
Phone: (660) 727-3388
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 14D2010201
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-21-2026
About QUINCY MEDICAL GROUP KAHOKA AFFILIATE
This page provides the complete NPI Profile along with additional information for Quincy Medical Group Kahoka Affiliate, a provider established in Kahoka, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1124770201 assigned on January 2022. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Quincy Medical Group Kahoka Affiliate. The authorized official of this NPI record is Patty Woerman (Credentialing Specialist)
- NPI
- 1124770201
- Provider Legal Name
- QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
- Other Organization Name
- QUINCY MEDICAL GROUP KAHOKA AFFILIATE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 133 E MAIN ST KAHOKA, MO 63445
- Location Phone
- (660) 727-3388
- Mailing Address
- 1025 MAINE ST QUINCY, IL 62301
- Mailing Phone
- (217) 222-6550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-20-2022
- Last Update Date
- 04-04-2023
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 14D2010201
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 22, 2024
- Certificate Expiration Date
- July 21, 2026
- Laboratory Director
- RICHARD K. NOBLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Quincy Medical Group Kahoka Affiliate 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 1124770201, 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.
KAHOKA, MO 63445
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124770201, enumerated as an "organization" on January 20, 2022.
The provider is located at 133 E MAIN ST KAHOKA, MO 63445 and the phone number is (660) 727-3388.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
