IMPACT LIFELINE
NPI 1467257576
Clinic/Center - Rural Health in Rolla, MO
NPI Status: Active since February 14, 2025
Contact Information
205 W 11TH ST
ROLLA, MO
ZIP 65401
Phone: (314) 279-4565
Fax: (309) 326-4526
- Organization
- Clinic/Center
- Rural Health
About IMPACT LIFELINE
This page provides the complete NPI Profile along with additional information for Impact Lifeline, a primary care provider established in Rolla, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1467257576 assigned on February 2025. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Impact Lifeline 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 Alisha Michelle Jones Np-c (Executive Administrator)
- NPI
- 1467257576
- Provider Name
- IMPACT LIFELINE
- Entity Type
- Organization
- Location Address
- 205 W 11TH ST ROLLA, MO 65401
- Location Phone
- (314) 279-4565
- Location Fax
- (309) 326-4526
- Mailing Address
- 8 LAURELWOOD CT SAINT LOUIS, MO 63146
- Mailing Phone
- (314) 279-4565
- Mailing Fax
- (309) 326-4526
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2025
- Last Update Date
- 02-19-2025
- Code Navigator
A primary care provider (PCP) like Impact Lifeline 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
Secondary Locations
- 13191 Rich Ln
Rolla, MO 65401
(314) 279-4565
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 Rural Health
- Taxonomy Code
- 261QR1300X
- 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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 3 | 251F00000X | Agencies | Home Infusion | |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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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 1467257576, 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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467257576, enumerated as an "organization" on February 14, 2025.
The provider is located at 205 W 11TH ST ROLLA, MO 65401 and the phone number is (314) 279-4565.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
