YALOBUSHA COUNTY HEALTH DEPARTMENT
NPI 1417367236
Public Health or Welfare in Water Valley, MS
NPI Status: Active since May 01, 2014
Contact Information
645 S MAIN ST
WATER VALLEY, MS
ZIP 38965
Phone: (662) 473-1424
Fax: (662) 473-2084
- Organization
- Public Health or Welfare
- CLIA Number: 25D2234643
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 08-31-2027
About YALOBUSHA COUNTY HEALTH DEPARTMENT
This page provides the complete NPI Profile along with additional information for Yalobusha County Health Department, a provider established in Water Valley, Mississippi operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1417367236 assigned on May 2014. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Yalobusha County Health Department. The authorized official of this NPI record is Mr. Mitchell Adcock Cao (Chief Administrative Officer)
- NPI
- 1417367236
- Provider Legal Name
- MISSISSIPP STATE DEPARTMENT OF HEALTH
- Other Organization Name
- YALOBUSHA COUNTY HEALTH DEPARTMENT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 645 S MAIN ST WATER VALLEY, MS 38965
- Location Phone
- (662) 473-1424
- Location Fax
- (662) 473-2084
- Mailing Address
- 570 E WOODROW WILSON AVE JACKSON, MS 39216
- Mailing Phone
- (601) 576-7635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2014
- Last Update Date
- 05-01-2014
- Code Navigator
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
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
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
- 25D2234643
- Facility Type
- Ambulance
- Certificate Effective Date
- September 01, 2025
- Certificate Expiration Date
- August 31, 2027
- Laboratory Director
- DR. PAUL L. ODOM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Yalobusha County Health Department 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 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 1417367236, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417367236, enumerated as an "organization" on May 01, 2014.
The provider is located at 645 S MAIN ST WATER VALLEY, MS 38965 and the phone number is (662) 473-1424.
Public Health or Welfare with taxonomy code 251K00000X.
