SALEM MEDICAL CLINIC
NPI 1588644496
Clinic/Center - Rural Health in Salem, KY

NPI Status: Active since January 18, 2006

Contact Information

141 HOSPITAL DR
SALEM, KY
ZIP 42078
Phone: (270) 988-3298
Fax: (270) 988-4642

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 18D0971153
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-06-2028

About SALEM MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Salem Medical Clinic, a primary care provider established in Salem, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1588644496 assigned on January 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 900216 (KY). The provider is registered as an organization and their NPI record was last updated 10 years ago. Salem Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Salem Medical Clinic. The authorized official of this NPI record is Mr. Michael Albin Heneisen (Agent)

NPI
1588644496
Provider Legal Name
TRI-RIVERS HEALTHCARE PLLC
Other Organization Name
SALEM MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
141 HOSPITAL DR SALEM, KY 42078
Location Phone
(270) 988-3298
Location Fax
(270) 988-4642
Mailing Address
PO BOX 347 SALEM, KY 42078
Mailing Phone
(270) 988-3298
Mailing Fax
(270) 988-4642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2006
Last Update Date
07-12-2016
Code Navigator

A primary care provider (PCP) like Salem Medical Clinic 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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
900216
License State
KY

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2208600000XAllopathic & Osteopathic Physicians

Surgery

 
3208D00000XAllopathic & Osteopathic Physicians

General Practice

 
4363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
5363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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.

Insurance Plans Accepted

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

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • 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
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • 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
  • Everyday Gold + Vision + Adult Dental - EPO

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. MICHAEL ALBIN HENEISEN

Authorized Official Title
AGENT
Authorized Official Phone
(270) 988-3298

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
183961MEDICARE OSCAR/CERTIFICATION (06)KY 
CG5320MEDICARE PIN (08)KY 
X46707MEDICARE UPIN (02)KY 
7890094100MEDICAID (05)KY 
6590103500MEDICAID (05)KY 
7100091640MEDICAID (05)KY 
6272MEDICARE PIN (08)KY 

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
18D0971153
Facility Type
Physician Office
Certificate Effective Date
March 07, 2026
Certificate Expiration Date
March 06, 2028
Laboratory Director
DR. WILLIAM E. BARNES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Salem 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.

Reviews for SALEM MEDICAL CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1588644496, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 8 → 16 → 7 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 8 + 4 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1588644496.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
141 HOSPITAL DR
SALEM, KY 42078
Surgery
141 HOSPITAL DR
SALEM, KY 42078
Surgery
141 HOSPITAL DR
SALEM, KY 42078
General Practice
141 HOSPITAL DR
SALEM, KY 42078
Pharmacy (Community/Retail Pharmacy)
141 HOSPITAL DR
SALEM, KY 42078
Nurse Practitioner (Family)
141 HOSPITAL DR
SALEM, KY 42078
Nurse Practitioner (Psychiatric/Mental Health)
141 HOSPITAL DR
SALEM, KY 42078
Internal Medicine
141 HOSPITAL DR
SALEM, KY 42078
Physician Assistant
141 HOSPITAL DR, STE 102
SALEM, KY 42078
Nurse Practitioner (Family)
141 HOSPITAL DR
SALEM, KY 42078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588644496, enumerated as an "organization" on January 18, 2006.

The provider is located at 141 HOSPITAL DR SALEM, KY 42078 and the phone number is (270) 988-3298.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.