CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A.
NPI 1710988134
Clinical Medical Laboratory in Great Bend, KS

NPI Status: Active since August 09, 2005

Contact Information

1309 POLK ST
GREAT BEND, KS
ZIP 67530
Phone: (620) 793-5404
Fax: (620) 792-2665

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  • Organization
  • Clinical Medical Laboratory

About CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A.

This page provides the complete NPI Profile along with additional information for Central Kansas Medical Park Ancillary Services, P.a., a provider established in Great Bend, Kansas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1710988134 assigned on August 2005. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Perry M Smith M.d. (President)

NPI
1710988134
Provider Name
CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICES, P.A.
Entity Type
Organization
Location Address
1309 POLK ST GREAT BEND, KS 67530
Location Phone
(620) 793-5404
Location Fax
(620) 792-2665
Mailing Address
1309 POLK ST GREAT BEND, KS 67530
Mailing Phone
(620) 793-5404
Mailing Fax
(620) 792-2665
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2005
Last Update Date
04-01-2013
Code Navigator

Establishments like Central Kansas Medical Park Ancillary Services, P.a. are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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.

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

PERRY M SMITH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(620) 793-5404

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
016144MEDICARE ID-TYPE UNSPECIFIED (04)KS 
100245710AMEDICAID (05)KS 
016144OTHER (01)KSBLUE SHIELD

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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 1710988134, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 1 → 2 9 → 18 → 9 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 8 + 8 + 1 + 6 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710988134.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530
Nurse Practitioner (Family)
1309 POLK ST
GREAT BEND, KS 67530
Clinical Medical Laboratory
1309 POLK ST
GREAT BEND, KS 67530
Family Medicine
1309 POLK ST
GREAT BEND, KS 67530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710988134, enumerated as an "organization" on August 09, 2005.

The provider is located at 1309 POLK ST GREAT BEND, KS 67530 and the phone number is (620) 793-5404.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.