HAWARDEN COMMUNITY CLINIC, LLC (HAWARDEN REGIONAL HEALTHCARE CLINICS, LLC) NPI 1801060306

Family Medicine in Ireton, IA

NPI 1801060306 Organization Family Medicine CLIA Number 16D0385058 CLIA Certificate of Waiver

NPI Profile for HAWARDEN COMMUNITY CLINIC, LLC (HAWARDEN REGIONAL HEALTHCARE CLINICS, LLC)

Hawarden Community Clinic, Llc (hawarden Regional Healthcare Clinics, Llc) is a primary care provider established in Ireton, Iowa specializing in family medicine. The NPI number of Hawarden Community Clinic, Llc (hawarden Regional Healthcare Clinics, Llc) is 1801060306 and was assigned on April 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Hawarden Community Clinic, Llc (hawarden Regional Healthcare Clinics, Llc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hawarden Community Clinic, Llc. The authorized official of this NPI record is Jayson P Pullman (Ceo)

A primary care provider (PCP) like Hawarden Community Clinic, Llc 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 Hawarden Community Clinic, Llc is 16D0385058 registered as a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hawarden Community Clinic, Llc 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

1801060306

Provider NameHAWARDEN COMMUNITY CLINIC, LLC (HAWARDEN REGIONAL HEALTHCARE CLINICS, LLC)
Provider Location Address318 MAIN ST IRETON, IA 51027
Provider Mailing Address1122 AVENUE L HAWARDEN, IA 51023
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHAWARDEN COMMUNITY CLINIC, LLC
Other Name TypeDoing Business As (3)
Enumeration Date04-15-2008
Last Update Date10-14-2013


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily 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.

Business Address

HAWARDEN COMMUNITY CLINIC, LLC
318 MAIN ST
IRETON, IA
ZIP 51027
Phone: (712) 278-1011
Fax: (712) 551-2691

Get Directions


Mailing Address

HAWARDEN COMMUNITY CLINIC, LLC
1122 AVENUE L
HAWARDEN, IA
ZIP 51023
Phone: (712) 551-3400
Fax: (712) 551-2691



Authorized Official

Authorized Official Name JAYSON P PULLMAN
Authorized Official TitleCEO
Authorized Official Phone(712) 551-3103

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 1801060306 is:

CLIA Number16D0385058
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyNo

Taxonomy Description: Not Available

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.
1801060306
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280106030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 0 + 6 + 0 + 3 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1801060306 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003006610 CINDI S RULE ARNP
Individual
Nurse Practitioner (Family)318 MAIN ST
IRETON, IA 51027
(712) 278-1011

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
Hawarden Community Clinic, Llc 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.