HEALTHPOINT FAMILY CARE INC
NPI 1508889742
Clinic/Center - Federally Qualified Health Center (FQHC) in Newport, KY

NPI Status: Active since July 26, 2006

Contact Information

215 E 11TH ST
NEWPORT, KY
ZIP 41071
Phone: (859) 655-6100
Fax: (859) 655-6179

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Federally Qualified Health Center (FQHC)
Accepts Insurance

About HEALTHPOINT FAMILY CARE INC

This page provides the complete NPI Profile along with additional information for Healthpoint Family Care Inc, a primary care provider established in Newport, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1508889742 assigned on July 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Sally Sprinkle-jordan (Ceo)

NPI: 1508889742
Provider Name: HEALTHPOINT FAMILY CARE INC
Entity Type: Organization
Location Address: 215 E 11TH ST NEWPORT, KY 41071
Location Phone: (859) 655-6100
Location Fax: (859) 655-6179
Mailing Address: 215 E. 11TH ST. NEWPORT, KY 41071
Mailing Phone: (859) 655-6100
Mailing Fax: (859) 655-6179
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-26-2006
Last Update Date: 08-11-2021
Code Navigator

A primary care provider (PCP) like Healthpoint Family Care Inc 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:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO

Ambetter of Illinois

Central Bronze - HMO
Central Bronze + Vision + Adult Dental - HMO
Central Gold - HMO
Central Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Ambetter of Tennessee

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Enhanced Diabetes Care Silver with $0 Drug Options - EPO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO

Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway HMO 7450 for HSA - HMO
Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Catastrophic Pathway HMO 9200 - HMO
Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO

DentaQuest Insurance Company Inc- OH

DentaQuest PPO Pediatric High - PPO
DentaQuest PPO Family Basic - PPO
DentaQuest PPO Family High - PPO
DentaQuest PPO Family Low - PPO

Medicare

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

Medicaid

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: SALLY SPRINKLE-JORDAN
Authorized Official Title: CEO
Authorized Official Phone: (859) 655-6127

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
3100078	MEDICAID (05)	KY

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	0	8	8	8	9	7	4	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	0	8	16	8	18	7	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 8 + 1 + 8 + 7 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 2									2

The NPI number 1508889742 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

CAROL ROARK MD

Pediatrics

215 E 11TH ST
NEWPORT, KY
ZIP 41071

About HEALTHPOINT FAMILY CARE INC

Location Map

Specialty - Primary Taxonomy

Clinic/Center Federally Qualified Health Center (FQHC)

Insurance Plans Accepted

Authorized Official

SALLY SPRINKLE-JORDAN

Additional Identifiers

Reviews for HEALTHPOINT FAMILY CARE INC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions