LEATHERWOOD ELEMENTARY SCHOOL BASED CLINIC
NPI 1144644022
Nurse Practitioner in Cornettsville, KY

NPI Status: Active since February 12, 2014

Contact Information

7777 KY HIGHWAY 699
SUITE A
CORNETTSVILLE, KY
ZIP 41731
Phone: (606) 633-4823

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 18D0648611
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-22-2027

About LEATHERWOOD ELEMENTARY SCHOOL BASED CLINIC

This page provides the complete NPI Profile along with additional information for Leatherwood Elementary School Based Clinic, a provider established in Cornettsville, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1144644022 assigned on February 2014. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Leatherwood Elementary School Based Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Leatherwood Elementary School Based Clinic. The authorized official of this NPI record is L.m. Caudill (Ceo)

NPI
1144644022
Provider Legal Name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Other Organization Name
LEATHERWOOD ELEMENTARY SCHOOL BASED CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7777 KY HIGHWAY 699 SUITE A CORNETTSVILLE, KY 41731
Location Phone
(606) 633-4823
Mailing Address
PO BOX 40 WHITESBURG, KY 41858
Mailing Phone
(606) 633-4823
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2014
Last Update Date
04-23-2014
Code Navigator

A nurse practitioner (NP) like Leatherwood Elementary School Based Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

L.M. CAUDILL

Authorized Official Title
CEO
Authorized Official Phone
(606) 633-4823

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
18D0648611
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
DR. VAN S. BREEDING
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Leatherwood Elementary School Based Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1144644022, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 4 → 8 6 → 12 → 3 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 2 + 4 + 8 + 0 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1144644022.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Public Health or Welfare
7777 KY HIGHWAY 699
LEATHERWOOD, KY 41731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144644022, enumerated as an "organization" on February 12, 2014.

The provider is located at 7777 KY HIGHWAY 699 SUITE A CORNETTSVILLE, KY 41731 and the phone number is (606) 633-4823.

Nurse Practitioner with taxonomy code 363L00000X.