DIAMONDHEAD URGENT CARE NPI 1659673606

Clinic/Center - Urgent Care in Diamondhead, MS

Organization Clinic/Center Urgent Care CLIA Number 25D2157991 CLIA Certificate of Waiver

About DIAMONDHEAD URGENT CARE

Diamondhead Urgent Care is a provider established in Diamondhead, Mississippi specializing in Clinic/center with a focus in urgent care . The NPI number of Diamondhead Urgent Care is 1659673606 and was assigned on November 2010. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. James W Embry Fnp-c (Ceo/family Nurse Practitioner,)

The CLIA number of Diamondhead Urgent Care is 25D2157991 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Diamondhead Urgent Care 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.

NPI

1659673606

Provider NameDIAMONDHEAD URGENT CARE
Provider Location Address4402 E ALOHA DR SUITE 16 DIAMONDHEAD, MS 39525
Provider Mailing Address4402 E ALOHA DR SUITE 16 DIAMONDHEAD, MS 39525
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-24-2010
Last Update Date02-02-2011


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care

Business Address

DIAMONDHEAD URGENT CARE
4402 E ALOHA DR
SUITE 16
DIAMONDHEAD, MS
ZIP 39525
Phone: (228) 364-9001
Fax: (228) 364-9004

Get Directions


Mailing Address

DIAMONDHEAD URGENT CARE
4402 E ALOHA DR
SUITE 16
DIAMONDHEAD, MS
ZIP 39525
Phone: (228) 364-9001
Fax: (228) 364-9004


Authorized Official

Authorized Official NameMR. JAMES W EMBRY FNP-C
Authorized Official TitleCEO/FAMILY NURSE PRACTITIONER,
Authorized Official Phone(337) 344-4492

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 the NPI number 1659673606 is:

CLIA Number25D2157991
Facility TypeOTHER
Certificate TypeCertificate of Waiver

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.
1659673606
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109127660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 2 + 7 + 6 + 6 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659673606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285187930 MICAH ANTHONY LADNER FNP-C
Individual
Nurse Practitioner (Family)4402 E ALOHA DR SUITE 15
DIAMONDHEAD, MS 39525
(228) 364-9001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Diamondhead Urgent Care is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.