COMMUNITY OUTREACH CLINIC
NPI 1215351390
Nurse Practitioner in Quincy, IL

NPI Status: Active since February 11, 2014

Contact Information

1415 VERMONT ST
QUINCY, IL
ZIP 62301
Phone: (217) 223-1200
Fax: (217) 223-9945

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner

About COMMUNITY OUTREACH CLINIC

This page provides the complete NPI Profile along with additional information for Community Outreach Clinic, a provider established in Quincy, Illinois operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1215351390 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 2 years ago. Community Outreach Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Community Outreach Clinic. The authorized official of this NPI record is Mrs. Maureen A Kahn (Ceo/president)

NPI: 1215351390
Provider Legal Name: BLESSING HOSPITAL
Other Organization Name: COMMUNITY OUTREACH CLINIC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1415 VERMONT ST QUINCY, IL 62301
Location Phone: (217) 223-1200
Location Fax: (217) 223-9945
Mailing Address: 1005 BROADWAY ST QUINCY, IL 62301
Mailing Phone: (217) 223-1200
Mailing Fax: (217) 223-9945
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 02-11-2014
Last Update Date: 11-27-2023
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A nurse practitioner (NP) like Community Outreach 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.

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: MRS. MAUREEN A KAHN
Authorized Official Title: CEO/PRESIDENT
Authorized Official Phone: (217) 223-1200

NPI Validation Check Digit Calculation

The following table explains the step by step 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.
1	2	1	5	3	5	1	3	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	6	5	2	3	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 5 + 2 + 3 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1215351390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.