CRESTVIEW HEALTH CENTER (NORTH FLORIDA MEDICAL CENTERS INC) NPI 1194908954

Clinic/Center (Federally Qualified Health Center (FQHC)) in Crestview, FL

NPI 1194908954 Organization Clinic/Center Federally Qualified Health Center (FQHC) CLIA Number 10D2067690 CLIA Certificate of Compliance

NPI Profile for CRESTVIEW HEALTH CENTER (NORTH FLORIDA MEDICAL CENTERS INC)

Crestview Health Center (north Florida Medical Centers Inc) is a primary care provider established in Crestview, Florida specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Crestview Health Center (north Florida Medical Centers Inc) is 1194908954 and was assigned on December 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crestview Health Center. The authorized official of this NPI record is Lane Miller Lunn (President/ceo)

A primary care provider (PCP) like Crestview Health Center 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

The CLIA number of Crestview Health Center is 10D2067690 registered as a "other" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Crestview Health Center 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.

NPI

1194908954

Provider NameCRESTVIEW HEALTH CENTER (NORTH FLORIDA MEDICAL CENTERS INC)
Provider Location Address800 HOSPITAL DR CRESTVIEW, FL 32539
Provider Mailing Address2804 REMINGTON GREEN CIR STE 2 TALLAHASSEE, FL 32308
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCRESTVIEW HEALTH CENTER
Other Name TypeDoing Business As (3)
Enumeration Date12-14-2007
Last Update Date12-10-2020


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)
License StateFL

Business Address

CRESTVIEW HEALTH CENTER
800 HOSPITAL DR
CRESTVIEW, FL
ZIP 32539
Phone: (850) 682-1164
Fax: (850) 682-5302

Get Directions


Mailing Address

CRESTVIEW HEALTH CENTER
2804 REMINGTON GREEN CIR STE 2
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 385-4494
Fax: (850) 298-6054



Authorized Official

Authorized Official Name LANE MILLER LUNN
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(850) 385-4494

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 the NPI number 1194908954 is:

CLIA Number10D2067690
Facility TypeOTHER
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
99388OTHER (01)FLMEDICARE PART B, GROUP PTAN
CE1606OTHER (01)FLRAILROAD MEDICARE

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194908954
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118418016910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 8 + 0 + 1 + 6 + 9 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1194908954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124564976 CAROLINA SCHLICKER RDH
Individual
Dental Hygienist800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 423-4603
1316470065 PATRICIA HAUN RDH
Individual
Dental Hygienist800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 423-4603
1659913606 SHIRLEY BLANCO NP-C
Individual
Nurse Practitioner (Family)800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 682-1164
1396384582 JENNIFER VITAL WHITFIELD MD
Individual
General Practice800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 682-1164
1689289563 LAUREN MARIE SCHAK RN
Individual
Registered Nurse (Case Management)800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 682-1164
1982920906NORTH FLORIDA MEDICAL CENTERS, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 423-4603
1487618443DR. PAUL STEPHEN BERGER M.D.
Individual
Pediatrics800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 682-1164
1568101509DR. MELISSA LAITE DMD
Individual
Dentist800 HOSPITAL DR
CRESTVIEW, FL 32539
(850) 423-4603

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Crestview Health Center is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.