COMMUNITY MEDICAL CLINIC
NPI 1760892921
Family Medicine in Perry, OK

NPI Status: Active since April 28, 2014

Contact Information

1318 ELM ST
PERRY, OK
ZIP 73077
Phone: (580) 336-9411
Fax: (580) 336-9422

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  • Organization
  • Family Medicine
  • CLIA Number: 37D2033678
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-28-2026

About COMMUNITY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Community Medical Clinic, a primary care provider established in Perry, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760892921 assigned on April 2014. The practitioner's primary taxonomy code is 207Q00000X with license number 2268 (OK). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Community Medical Clinic. The authorized official of this NPI record is Joseph Greenlee (Board Chairman)

NPI
1760892921
Provider Legal Name
PERRY MEMORIAL HOSPITAL AUTHORITY
Other Organization Name
COMMUNITY MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1318 ELM ST PERRY, OK 73077
Location Phone
(580) 336-9411
Location Fax
(580) 336-9422
Mailing Address
501 N 14TH ST PERRY, OK 73077
Mailing Phone
(580) 336-9411
Mailing Fax
(580) 336-9422
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-28-2014
Last Update Date
10-14-2014
Code Navigator

A primary care provider (PCP) like Community Medical Clinic 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 .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
2268
License State
OK
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JOSEPH GREENLEE

Authorized Official Title
BOARD CHAIRMAN
Authorized Official Phone
(580) 336-3541

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
37D2033678
Facility Type
Physician Office
Certificate Effective Date
July 29, 2024
Certificate Expiration Date
July 28, 2026
Laboratory Director
JULIAN CECIL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Medical Clinic 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 1760892921, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 6 → 12 → 3 8 → 16 → 7 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 6 + 9 + 4 + 9 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1760892921.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant
1318 ELM ST
PERRY, OK 73077
Clinic/Center (Rural Health)
1318 ELM ST
PERRY, OK 73077
Family Medicine
1318 ELM ST
PERRY, OK 73077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760892921, enumerated as an "organization" on April 28, 2014.

The provider is located at 1318 ELM ST PERRY, OK 73077 and the phone number is (580) 336-9411.

Family Medicine with taxonomy code 207Q00000X.