CLARKSVILLE MEDICAL GROUP, P.A.
NPI 1508918467
Durable Medical Equipment & Medical Supplies in Clarksville, AR
NPI Status: Active since January 18, 2007
Contact Information
601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-8384
Fax: (479) 754-7141
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 04D0469031
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-09-2027
About CLARKSVILLE MEDICAL GROUP, P.A.
This page provides the complete NPI Profile along with additional information for Clarksville Medical Group, P.a., a provider established in Clarksville, Arkansas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1508918467 assigned on January 2007. The practitioner's primary taxonomy code is 332B00000X with license number MC0283 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Leanna J Perrett (Office Manager)
- NPI
- 1508918467
- Provider Name
- CLARKSVILLE MEDICAL GROUP, P.A.
- Entity Type
- Organization
- Location Address
- 601 W MCKENNON ST CLARKSVILLE, AR 72830
- Location Phone
- (479) 754-8384
- Location Fax
- (479) 754-7141
- Mailing Address
- PO BOX 668 CLARKSVILLE, AR 72830
- Mailing Phone
- (479) 754-8384
- Mailing Fax
- (479) 754-7141
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2007
- Last Update Date
- 03-13-2008
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- MC0283
- License State
- AR
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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.
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 |
|---|---|---|---|
| 0790780001 | MEDICARE NSC (07) | AR | |
| 0790780001 | OTHER (01) | AR | DURABLE MEDICAL EQUIPMENT |
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
- 04D0469031
- Facility Type
- Physician Office
- Certificate Effective Date
- December 10, 2025
- Certificate Expiration Date
- December 09, 2027
- Laboratory Director
- SHAWN A. LITTLE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Clarksville Medical Group, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1508918467, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508918467, enumerated as an "organization" on January 18, 2007.
The provider is located at 601 W MCKENNON ST CLARKSVILLE, AR 72830 and the phone number is (479) 754-8384.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
