COPELAND CLINIC
NPI 1174630693
Clinic/Center - Rural Health in Live Oak, FL

NPI Status: Active since August 23, 2006

Contact Information

10820 MARVIN E. JONES BLVD.
LIVE OAK, FL
ZIP 32060
Phone: (386) 658-5550
Fax: (386) 658-5666

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About COPELAND CLINIC

This page provides the complete NPI Profile along with additional information for Copeland Clinic, a primary care provider established in Live Oak, Florida operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1174630693 assigned on August 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Copeland Clinic. The authorized official of this NPI record is Craig A. Carter (President/ceo)

NPI
1174630693
Provider Legal Name
ACV COMMUNITY SERVICES LLC
Other Organization Name
COPELAND CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10820 MARVIN E. JONES BLVD. LIVE OAK, FL 32060
Location Phone
(386) 658-5550
Location Fax
(386) 658-5666
Mailing Address
PO BOX 4675 DOWLING PARK, FL 32064
Mailing Phone
(386) 658-5450
Mailing Fax
(386) 658-5666
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
10-06-2008
Code Navigator

A primary care provider (PCP) like Copeland Clinic 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:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS

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.

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

CRAIG A. CARTER

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(386) 658-5500

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
230620OTHER (01)FLAVMED
DA9143MEDICARE ID-TYPE UNSPECIFIED (04)FLRAILROAD MEDICARE
W01OTHER (01)FLBCBS CLINIC UB92
029511600MEDICAID (05)FL 
379125400MEDICAID (05)FL 
103819MEDICARE OSCAR/CERTIFICATION (06)FL 
99465MEDICARE ID-TYPE UNSPECIFIED (04)FLMEDICARE PART B

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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 1174630693, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 7 → 14 → 5 6 → 12 → 3 0 → 0 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 + 1 + 4 + 4 + 1 + 2 + 3 + 0 + 6 + 1 + 8 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174630693.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Speech-Language Pathologist
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060
Physical Therapy Assistant
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060
Occupational Therapy Assistant
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060
Physical Therapist
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060
Pharmacist
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL 32060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174630693, enumerated as an "organization" on August 23, 2006.

The provider is located at 10820 MARVIN E. JONES BLVD. LIVE OAK, FL 32060 and the phone number is (386) 658-5550.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.