FAIRMONT MEDICAL CLINIC
NPI 1194720466
Clinic/Center - Rural Health in Fairmont, NC
NPI Status: Active since June 14, 2005
Contact Information
101 N WALNUT ST
FAIRMONT, NC
ZIP 28340
Phone: (910) 628-0655
Fax: (910) 628-0158
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
About FAIRMONT MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Fairmont Medical Clinic, a primary care provider established in Fairmont, North Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1194720466 assigned on June 2005. The practitioner's primary taxonomy code is 261QR1300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Fairmont Medical Clinic. The authorized official of this NPI record is Charles Thomas Johnson Iii (Vice President Finance)
- NPI
- 1194720466
- Provider Legal Name
- SOUTHEASTERN REGIONAL MEDICAL CENTER
- Other Organization Name
- FAIRMONT MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 101 N WALNUT ST FAIRMONT, NC 28340
- Location Phone
- (910) 628-0655
- Location Fax
- (910) 628-0158
- Mailing Address
- 2600 N ELM ST LUMBERTON, NC 28358
- Mailing Phone
- (910) 272-3051
- Mailing Fax
- (910) 628-0158
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2005
- Last Update Date
- 01-27-2009
- Code Navigator
A primary care provider (PCP) like Fairmont Medical 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
- License No.
- H0064
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ Dental + Vision (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
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.
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 |
|---|---|---|---|
| 343989C | MEDICAID (05) | NC | |
| 343989A | MEDICAID (05) | NC | |
| 235109D | MEDICARE PIN (08) | NC | |
| 235109D | MEDICARE OSCAR/CERTIFICATION (06) | NC | |
| 343989 | MEDICARE PIN (08) | NC | |
| 343989 | MEDICARE OSCAR/CERTIFICATION (06) | NC | |
| 0260K | OTHER (01) | NC | BLUE CROSS BLUE SHIELD |
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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 1194720466, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
FAIRMONT, NC 28340
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194720466, enumerated as an "organization" on June 14, 2005.
The provider is located at 101 N WALNUT ST FAIRMONT, NC 28340 and the phone number is (910) 628-0655.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
