CLENDENIN HEALTH CENTER LAB
NPI 1407259062
Clinic/Center - Federally Qualified Health Center (FQHC) in Clendenin, WV

NPI Status: Active since September 26, 2014

Contact Information

107 KOONTZ AVE STE 200
CLENDENIN, WV
ZIP 25045
Phone: (304) 734-2040
Fax: (301) 734-2047

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CLENDENIN HEALTH CENTER LAB

This page provides the complete NPI Profile along with additional information for Clendenin Health Center Lab, a primary care provider established in Clendenin, West Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1407259062 assigned on September 2014. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Clendenin Health Center Lab operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer Russell (Administrative Assistant)

NPI
1407259062
Provider Name
CLENDENIN HEALTH CENTER LAB
Entity Type
Organization
Location Address
107 KOONTZ AVE STE 200 CLENDENIN, WV 25045
Location Phone
(304) 734-2040
Location Fax
(301) 734-2047
Mailing Address
PO BOX 70 DAWES, WV 25054
Mailing Phone
(304) 734-2040
Mailing Fax
(301) 734-2047
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2014
Last Update Date
07-30-2025
Code Navigator

A primary care provider (PCP) like Clendenin Health Center Lab 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

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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

JENNIFER RUSSELL

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(304) 734-2040

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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 1407259062, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 2 → 4 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 4 + 5 + 1 + 8 + 0 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1407259062.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Dentist (General Practice)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Psychiatry & Neurology (Psychiatry)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Physician Assistant (Medical)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Psychologist
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Physician Assistant
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Counselor (Mental Health)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Physician Assistant
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Physician Assistant
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Family Medicine
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407259062, enumerated as an "organization" on September 26, 2014.

The provider is located at 107 KOONTZ AVE STE 200 CLENDENIN, WV 25045 and the phone number is (304) 734-2040.

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