DUBOIS MEDICAL CLINIC
NPI 1306136205
Clinic/Center - Federally Qualified Health Center (FQHC) in Dubois, WY

NPI Status: Active since April 12, 2011

Contact Information

5647 US HWY 26
DUBOIS, WY
ZIP 82513
Phone: (307) 455-2516
Fax: (307) 455-2526

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 53D0880688
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-27-2027

About DUBOIS MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Dubois Medical Clinic, a primary care provider established in Dubois, Wyoming operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1306136205 assigned on April 2011. 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 Dubois Medical Clinic. The authorized official of this NPI record is Amanda Sisco (Revenue Cycle Manager)

NPI
1306136205
Provider Legal Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Other Organization Name
DUBOIS MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5647 US HWY 26 DUBOIS, WY 82513
Location Phone
(307) 455-2516
Location Fax
(307) 455-2526
Mailing Address
5000 BLACKMORE RD CASPER, WY 82609
Mailing Phone
(307) 233-6000
Mailing Fax
(307) 455-2526
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2011
Last Update Date
03-08-2024
Code Navigator

A primary care provider (PCP) like Dubois Medical 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

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:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*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

AMANDA SISCO

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(307) 233-6000

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
53D0880688
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 28, 2025
Certificate Expiration Date
March 27, 2027
Laboratory Director
SHELLY BOUDRIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dubois Medical 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.

Reviews for DUBOIS MEDICAL CLINIC

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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 1306136205, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 0 → 0 1 → 2 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 2 + 3 + 1 + 2 + 2 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306136205.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
5647 US HWY 26
DUBOIS, WY 82513
Clinic/Center (Federally Qualified Health Center (FQHC))
5647 US HWY 26, DUBOIS MEDICAL CLINIC
DUBOIS, WY 82513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306136205, enumerated as an "organization" on April 12, 2011.

The provider is located at 5647 US HWY 26 DUBOIS, WY 82513 and the phone number is (307) 455-2516.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and Medica. Please consult your insurance carrier or call the provider to verify.