FW HUSTON MEDICAL CLINIC
NPI 1447660360
Clinic/Center - Multi-Specialty in Perry, KS

NPI Status: Active since April 30, 2014

Contact Information

504 PLAZA DR
SUITE 300
PERRY, KS
ZIP 66073
Phone: (913) 774-4340
Fax: (913) 774-3379

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 17D2035956
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2025

About FW HUSTON MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Fw Huston Medical Clinic, a provider established in Perry, Kansas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1447660360 assigned on April 2014. 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 Fw Huston Medical Clinic. The authorized official of this NPI record is Mr. Lamont Cook (Ceo)

NPI
1447660360
Provider Legal Name
JEFFERSON COUNTY MEMORIAL HOSPITAL
Other Organization Name
FW HUSTON MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
504 PLAZA DR SUITE 300 PERRY, KS 66073
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
04-30-2014
Last Update Date
06-23-2014
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. LAMONT COOK

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100080370FMEDICAID (05)KS 
110046OTHER (01)KSMEDICARE ID-TYPE UNSPECIFIED

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
17D2035956
Facility Type
Physician Office
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
CHELSEA D. WILLIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fw Huston 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.

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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 1447660360, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 4 → 8 6 → 12 → 3 0 → 0 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 + 8 + 7 + 1 + 2 + 6 + 0 + 3 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1447660360.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447660360, enumerated as an "organization" on April 30, 2014.

The provider is located at 504 PLAZA DR SUITE 300 PERRY, KS 66073 and the phone number is (913) 774-4340.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.