FLORIDA DEPARTMENT OF CORRECTIONS
NPI 1679810972
Health Maintenance Organization in Polk City, FL

NPI Status: Active since January 08, 2013

Contact Information

10800 EVANS RD
POLK CITY, FL
ZIP 33868
Phone: (863) 984-2273
Fax: (863) 984-1021

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 10D2114797
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 06-20-2026

About FLORIDA DEPARTMENT OF CORRECTIONS

This page provides the complete NPI Profile along with additional information for Florida Department Of Corrections, a provider established in Polk City, Florida operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1679810972 assigned on January 2013. The practitioner's primary taxonomy code is 302R00000X with license number PA9100731 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Florida Department Of Corrections. The authorized official of this NPI record is Dr. Long N Do Md (Chief Health Officer)

NPI
1679810972
Provider Legal Name
POLK CORRECTIONAL INSTITUTION
Other Organization Name
FLORIDA DEPARTMENT OF CORRECTIONS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10800 EVANS RD POLK CITY, FL 33868
Location Phone
(863) 984-2273
Location Fax
(863) 984-1021
Mailing Address
1531 MCCREA DR LUTZ, FL 33549
Mailing Phone
(863) 984-2273
Mailing Fax
(863) 984-1021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2013
Last Update Date
01-08-2013
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
PA9100731
License State
FL
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

DR. LONG N DO MD

Authorized Official Title
CHIEF HEALTH OFFICER
Authorized Official Phone
(863) 984-2273

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
10D2114797
Facility Type
Prison
Certificate Effective Date
June 21, 2024
Certificate Expiration Date
June 20, 2026
Laboratory Director
MERCEDES CABALEIRO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Florida Department Of Corrections 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.

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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 1679810972, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 7 → 14 → 5 8 → 16 → 7 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 6 + 1 + 0 + 9 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1679810972.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679810972, enumerated as an "organization" on January 08, 2013.

The provider is located at 10800 EVANS RD POLK CITY, FL 33868 and the phone number is (863) 984-2273.

Health Maintenance Organization with taxonomy code 302R00000X.