JEFFERSON MEDICAL CLINIC VALLEY FALLS
NPI 1265739288
Clinic/Center - Multi-Specialty in Valley Falls, KS

NPI Status: Active since February 28, 2011

Contact Information

409 BROADWAY ST
VALLEY FALLS, KS
ZIP 66088
Phone: (913) 774-4340
Fax: (913) 774-3379

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 17D0046649
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-09-2027

About JEFFERSON MEDICAL CLINIC VALLEY FALLS

This page provides the complete NPI Profile along with additional information for Jefferson Medical Clinic Valley Falls, a provider established in Valley Falls, Kansas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1265739288 assigned on February 2011. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Jefferson Medical Clinic Valley Falls. The authorized official of this NPI record is Lamont Cook (Ceo)

NPI
1265739288
Provider Legal Name
JEFFERSON COUNTY MEMORIAL HOSPITAL
Other Organization Name
JEFFERSON MEDICAL CLINIC VALLEY FALLS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
409 BROADWAY ST VALLEY FALLS, KS 66088
Location Phone
(913) 774-4340
Location Fax
(913) 774-3379
Mailing Address
408 DELAWARE ST WINCHESTER, KS 66097
Mailing Phone
(913) 774-4340
Mailing Fax
(913) 774-3379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2011
Last Update Date
12-04-2014
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License State
KS

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

LAMONT COOK

Authorized Official Title
CEO
Authorized Official Phone
(913) 774-4340

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
17D0046649
Facility Type
Hospital
Certificate Effective Date
July 10, 2025
Certificate Expiration Date
July 09, 2027
Laboratory Director
ALLISON FORRESTER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Jefferson Medical Clinic Valley Falls on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1265739288, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 4 + 3 + 1 + 8 + 2 + 1 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1265739288.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265739288, enumerated as an "organization" on February 28, 2011.

The provider is located at 409 BROADWAY ST VALLEY FALLS, KS 66088 and the phone number is (913) 774-4340.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.