DOCTORS MEMORIAL HEALTH CLINIC
NPI 1255941688
General Practice in Bonifay, FL
NPI Status: Active since July 31, 2020
Contact Information
2910 HOSPITAL DR STE B
BONIFAY, FL
ZIP 32425
Phone: (850) 547-8158
Fax: (850) 547-8090
- Organization
- General Practice
- CLIA Number: 10D2203222
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-02-2026
About DOCTORS MEMORIAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Doctors Memorial Health Clinic, a primary care provider established in Bonifay, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1255941688 assigned on July 2020. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Doctors Memorial Health Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Doctors Memorial Health Clinic. The authorized official of this NPI record is Joann Baker (Administrator)
- NPI
- 1255941688
- Provider Legal Name
- HOLMES COUNTY HOSPITAL CORPORATION
- Other Organization Name
- DOCTORS MEMORIAL HEALTH CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2910 HOSPITAL DR STE B BONIFAY, FL 32425
- Location Phone
- (850) 547-8158
- Location Fax
- (850) 547-8090
- Mailing Address
- PO BOX 188 BONIFAY, FL 32425
- Mailing Phone
- (850) 547-8158
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-31-2020
- Last Update Date
- 03-28-2024
- Code Navigator
A primary care provider (PCP) like Doctors Memorial Health 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 10D2203222
- Facility Type
- Physician Office
- Certificate Effective Date
- December 03, 2024
- Certificate Expiration Date
- December 02, 2026
- Laboratory Director
- NORTH DAVIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Doctors Memorial Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 5 | 9 | 4 | 1 | 6 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 18 | 4 | 2 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 8 + 4 + 2 + 6 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1255941688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255941688, enumerated as an "organization" on July 31, 2020.
The provider is located at 2910 HOSPITAL DR STE B BONIFAY, FL 32425 and the phone number is (850) 547-8158.
General Practice with taxonomy code 208D00000X.
