MOULTON PRIMARY CARE CLINIC
NPI 1760930200
Clinic/Center - Rural Health in Moulton, AL
NPI Status: Active since September 13, 2016
Contact Information
40 MEDICAL CIR
MOULTON, AL
ZIP 35650
Phone: (256) 974-0606
Fax: (256) 522-2227
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 01D2116647
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-28-2026
About MOULTON PRIMARY CARE CLINIC
This page provides the complete NPI Profile along with additional information for Moulton Primary Care Clinic, a primary care provider established in Moulton, Alabama operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1760930200 assigned on September 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Moulton Primary Care Clinic. The authorized official of this NPI record is Christy Louallen (Credentialing/billing Supervisor)
- NPI
- 1760930200
- Provider Legal Name
- ATTENTUS MOULTON, LLC
- Other Organization Name
- MOULTON PRIMARY CARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 40 MEDICAL CIR MOULTON, AL 35650
- Location Phone
- (256) 974-0606
- Location Fax
- (256) 522-2227
- Mailing Address
- PO BOX 340 MOULTON, AL 35650
- Mailing Phone
- (256) 974-2207
- Mailing Fax
- (256) 522-2227
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2016
- Last Update Date
- 07-25-2019
- Code Navigator
A primary care provider (PCP) like Moulton Primary Care 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 01D2116647
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 29, 2024
- Certificate Expiration Date
- July 28, 2026
- Laboratory Director
- SAMUEL N. GILLESPIE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Moulton Primary Care 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 1760930200, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760930200, enumerated as an "organization" on September 13, 2016.
The provider is located at 40 MEDICAL CIR MOULTON, AL 35650 and the phone number is (256) 974-0606.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.
