APPLE KIDS PEDIATRICS (STE GENEVIEVE COUNTY MEMORIAL HOSPITAL) NPI 1730238551

Clinic/Center (Rural Health) in Ste Genevieve, MO

NPI 1730238551 Organization Clinic/Center Rural Health CLIA Number 26D0933010 CLIA Certificate of Waiver

NPI Profile for APPLE KIDS PEDIATRICS (STE GENEVIEVE COUNTY MEMORIAL HOSPITAL)

Apple Kids Pediatrics (ste Genevieve County Memorial Hospital) is a primary care provider established in Ste Genevieve, Missouri specializing in clinic/center (rural health) . The NPI number of Apple Kids Pediatrics (ste Genevieve County Memorial Hospital) is 1730238551 and was assigned on January 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Apple Kids Pediatrics. The authorized official of this NPI record is Jon Branstetter (Cfo)

A primary care provider (PCP) like Apple Kids Pediatrics 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

The CLIA number of Apple Kids Pediatrics is 26D0933010 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Apple Kids Pediatrics 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

1730238551

Provider NameAPPLE KIDS PEDIATRICS (STE GENEVIEVE COUNTY MEMORIAL HOSPITAL)
Provider Location Address590 PINE DR STE GENEVIEVE, MO 63670
Provider Mailing AddressPO BOX 366 STE GENEVIEVE, MO 63670
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameAPPLE KIDS PEDIATRICS
Other Name TypeDoing Business As (3)
Enumeration Date01-10-2007
Last Update Date09-09-2020


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License StateMO

Business Address

APPLE KIDS PEDIATRICS
590 PINE DR
STE GENEVIEVE, MO
ZIP 63670
Phone: (573) 883-4455
Fax: (573) 883-4472

Get Directions


Mailing Address

APPLE KIDS PEDIATRICS
PO BOX 366
STE GENEVIEVE, MO
ZIP 63670
Phone: (573) 883-4455
Fax: (573) 883-4472



Authorized Official

Authorized Official Name JON BRANSTETTER
Authorized Official TitleCFO
Authorized Official Phone(573) 883-7714

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 1730238551 is:

CLIA Number26D0933010
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CC8331OTHER (01)MORAILROAD MEDICARE
500142609MEDICAID (05)MO

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1730238551
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604316510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 3 + 1 + 6 + 5 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1730238551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043361264 GAIL L CRAFT FNP
Individual
Pediatrics590 PINE DR
STE GENEVIEVE, MO 63670
(573) 883-4477
1144293374 SHILPA DESAI MD
Individual
Pediatrics590 PINE DR
STE GENEVIEVE, MO 63670
(573) 883-4455

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
Apple Kids Pediatrics 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.