COMMUNITY MEDICAL ASSOCIATES
NPI 1174979439
Clinic/Center - Health Service in Brookfield, MO

NPI Status: Active since May 05, 2016

Contact Information

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628
Phone: (660) 258-1050
Fax: (660) 258-1052

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 26D0947518
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-16-2026

About COMMUNITY MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Community Medical Associates, a provider established in Brookfield, Missouri operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1174979439 assigned on May 2016. The practitioner's primary taxonomy code is 261QH0100X with license number 19856 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Community Medical Associates. The authorized official of this NPI record is Mr. Kenneth E Baranski (Cfo)

NPI
1174979439
Provider Legal Name
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Other Organization Name
COMMUNITY MEDICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
130 E LOCKLING ST BROOKFIELD, MO 64628
Location Phone
(660) 258-1050
Location Fax
(660) 258-1052
Mailing Address
125 E LOCKLING ST BROOKFIELD, MO 64628
Mailing Phone
(660) 258-1307
Mailing Fax
(660) 258-1052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2016
Last Update Date
11-08-2023
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
19856
License State
MO

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

MR. KENNETH E BARANSKI

Authorized Official Title
CFO
Authorized Official Phone
(660) 258-1288

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
503898603MEDICAID (05)MO 
596059501MEDICAID (05)MO 

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
26D0947518
Facility Type
Rural Health Clinic
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
BRIAN KEVIN KNOWLES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Community Medical Associates 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 COMMUNITY MEDICAL ASSOCIATES

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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 1174979439, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 9 → 18 → 9 9 → 18 → 9 3 → 6

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 + 8 + 7 + 1 + 8 + 4 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174979439.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Family Medicine
130 E LOCKLING ST
BROOKFIELD, MO 64628
Nurse Practitioner (Family)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Physical Therapist
130 E LOCKLING ST
BROOKFIELD, MO 64628
Physical Therapist
130 E LOCKLING ST
BROOKFIELD, MO 64628
General Practice
130 E LOCKLING ST
BROOKFIELD, MO 64628
Nurse Practitioner (Family)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Nurse Practitioner (Family)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Emergency Medicine
130 E LOCKLING ST
BROOKFIELD, MO 64628
Clinic/Center (Rural Health)
130 E LOCKLING ST
BROOKFIELD, MO 64628
General Acute Care Hospital (Critical Access)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Dietitian, Registered
130 E LOCKLING ST
BROOKFIELD, MO 64628
Clinic/Center (Rural Health)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Medicare Defined Swing Bed Unit
130 E LOCKLING ST
BROOKFIELD, MO 64628
Nurse Anesthetist, Certified Registered
130 E LOCKLING ST
BROOKFIELD, MO 64628
Clinic/Center (Rural Health)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Nurse Practitioner (Psychiatric/Mental Health)
130 E LOCKLING ST
BROOKFIELD, MO 64628
Internal Medicine
130 E LOCKLING ST
BROOKFIELD, MO 64628
Family Medicine
130 E LOCKLING ST
BROOKFIELD, MO 64628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174979439, enumerated as an "organization" on May 05, 2016.

The provider is located at 130 E LOCKLING ST BROOKFIELD, MO 64628 and the phone number is (660) 258-1050.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

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