KANAWHA CITY HEALTH CENTER
NPI 1588908362
Clinic/Center - Federally Qualified Health Center (FQHC) in Charleston, WV
NPI Status: Active since November 19, 2012
Contact Information
4602 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 734-2040
Fax: (304) 734-2047
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 51D2082231
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 08-10-2024
About KANAWHA CITY HEALTH CENTER
Kanawha City Health Center is a primary care provider established in Charleston, West Virginia operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1588908362 assigned on November 2012. The practitioner's primary taxonomy code is 261QF0400X with license number 1041-6374 (WV). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Kanawha City Health Center. The authorized official of this NPI record is Jennifer Russell (Administrative Assistant)
- NPI
- 1588908362
- Provider Legal Name
- CABIN CREEK HEALTH CENTER, INC.
- Other Organization Name
- KANAWHA CITY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4602 MACCORKLE AVE SE CHARLESTON, WV 25304
- Location Phone
- (304) 734-2040
- Location Fax
- (304) 734-2047
- Mailing Address
- PO BOX 70 DAWES, WV 25054
- Mailing Phone
- (304) 734-2040
- Mailing Fax
- (304) 734-2047
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2012
- Last Update Date
- 11-19-2012
- Code Navigator
A primary care provider (PCP) like Kanawha City Health Center 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 .
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
- License No.
- 1041-6374
- License State
- WV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
CareSource
- CareSource Marketplace Bronze First - HMO
- CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Gold - HMO
- CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Silver - HMO
- CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Gold - HMO
- CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Silver - HMO
- CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Gold - HMO
- CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Low Deductible Silver - HMO
- CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Low Premium Silver - HMO
- CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Silver - HMO
- CareSource Marketplace Silver Dental, Vision, & Fitness - HMO
Highmark Blue Cross Blue Shield West Virginia
- my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5900 - PPO
- my Blue Access WV PPO Standard Silver 5900 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 51D2082231
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 11, 2022
- Certificate Expiration Date
- August 10, 2024
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kanawha City Health Center 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 KANAWHA CITY HEALTH CENTER
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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 | 8 | 8 | 9 | 0 | 8 | 3 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 18 | 0 | 16 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 8 + 0 + 1 + 6 + 3 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1588908362 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447214846 | DR. MEDARD LOUIS LEFEVRE MD Individual | Internal Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1255395273 | DR. RANDALL ALAN SWAIN MD Individual | Family Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1255349189 | INTEGRATED HEALTH CARE PROVIDERS, INC. Organization | Emergency Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1861693194 | INTEGRATED HEALTH CARE PROVIDERS, INC. Organization | Clinic/Center (Urgent Care) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1750726444 | WV RURAL HEALTHCARE PARTNERSHIP Organization | Pharmacy (Community/Retail Pharmacy) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7534 |
| 1861895427 | CABIN CREEK HEALTH CENTER INC. Organization | Family Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 734-2040 |
| 1417945304 | DONALD L SEIDLER MD Individual | Family Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1508820861 | DR. AMY LEE WIRTS MD Individual | Internal Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 925-4777 |
| 1427150481 | MICHELE J ROACH-COURTS PA-C Individual | Physician Assistant | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1760702120 | RYAN MORRISON MD Individual | Internal Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (681) 205-8600 |
| 1679865687 | GRACE MCCLUNG FALBO D.O. Individual | Family Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1285988808 | MRS. KAREN LYNN BAILEY PA-C Individual | Physician Assistant | 4602 MACCORKLE AVE SE 81 LINCOLN PANTHER WAY CHARLESTON, WV 25304 (304) 205-7535 |
| 1689040032 | ROCKY LUCAS LICSW, MSW Individual | Social Worker (Clinical) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1841806510 | ASHLEY SIERRA COPEN MSW, LGSW Individual | Social Worker | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1962006882 | COREY WILKS PSY.D. Individual | Psychologist (Clinical) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1427034529 | DR. DANNY RADER MD Individual | Family Medicine | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1225656044 | MARLEE LAYH Individual | Psychologist (Clinical) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1427570076 | JEANNA MCGILL MA Individual | Psychologist | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1265780340 | MR. PARRISH EDWARD HARLESS APRN, FNP-BC Individual | Nurse Practitioner (Family) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
| 1518278118 | DR. AMANDA MARIE BORROR DO Individual | Family Medicine (Addiction Medicine) | 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 205-7535 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588908362, enumerated in the NPI registry as an "organization" on November 19, 2012
The provider is located at 4602 Maccorkle Ave Se Charleston, Wv 25304 and the phone number is (304) 734-2040
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: CareSource and Highmark Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D2082231 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on November 19, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.