CLEVELAND FAMILY HEALTH CARE CENTER
NPI 1245442169
Clinic/Center - Federally Qualified Health Center (FQHC) in Cleveland, TN

NPI Status: Active since May 04, 2007

Contact Information

2020 WESTLAND DR SW
CLEVELAND, TN
ZIP 37311
Phone: (423) 338-8995
Fax: (423) 614-5270

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Federally Qualified Health Center (FQHC)
Accepts Insurance
CLIA Number: 44D1021135
CLIA Cert. Type: Federally Qualified Health Center
CLIA Exp. Date: 10-06-2026

About CLEVELAND FAMILY HEALTH CARE CENTER

This page provides the complete NPI Profile along with additional information for Cleveland Family Health Care Center, a primary care provider established in Cleveland, Tennessee operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1245442169 assigned on May 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Cleveland Family Health Care Center. The authorized official of this NPI record is Mr. William R Moats (Ceo)

NPI: 1245442169
Provider Legal Name: OCOEE REGIONAL HEALTH CORPORATION
Other Organization Name: CLEVELAND FAMILY HEALTH CARE CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2020 WESTLAND DR SW CLEVELAND, TN 37311
Location Phone: (423) 338-8995
Location Fax: (423) 614-5270
Mailing Address: 1420 FRITZ ST SE CLEVELAND, TN 37323
Mailing Phone: (423) 478-1970
Mailing Fax: (423) 614-5270
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-04-2007
Last Update Date: 02-18-2022
Code Navigator

A primary care provider (PCP) like Cleveland Family Health Care 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 .

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 Federally Qualified Health Center (FQHC)
Taxonomy Code: 261QF0400X
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:

Ambetter from Absolute Total Care

Clear Silver - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Enhanced Diabetes Care Silver with $0 Drug Options - HMO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO

Ambetter of Alabama

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO

Ambetter of North Carolina

Clear Silver with $0 Insulin Options - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Gold with Atrium Health - HMO
Complete Gold with Atrium Health + Vision + Adult Dental - HMO
Complete Silver with Atrium Health - HMO
Complete Silver with Atrium Health + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Bronze with Atrium Health - HMO

Ambetter of Tennessee

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Enhanced Diabetes Care Silver with $0 Drug Options - EPO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO

WellCare of North Carolina

Standard Expanded Bronze WellCare - PPO
Standard Gold WellCare - PPO
Standard Silver WellCare - PPO

*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. WILLIAM R MOATS
Authorized Official Title: CEO
Authorized Official Phone: (423) 338-8995

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: 44D1021135
Facility Type: Federally Qualified Health Center
Certificate Effective Date: October 07, 2024
Certificate Expiration Date: October 06, 2026
Laboratory Director: DR. MANVESH N. SINHA
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Cleveland Family Health Care 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 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	4	5	4	4	2	1	6	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	8	4	4	1	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 4 + 4 + 1 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1245442169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

JOHN MARVIN LYTLE JR.

Nurse Practitioner

(Adult Health)