KANAWHA CITY HEALTH CENTER LAB
NPI 1861895427
Family Medicine in Charleston, WV

NPI Status: Active since September 26, 2014

Contact Information

4602 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 734-2040
Fax: (304) 734-2047

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  • Organization
  • Family Medicine
  • Accepts Insurance

About KANAWHA CITY HEALTH CENTER LAB

This page provides the complete NPI Profile along with additional information for Kanawha City Health Center Lab, a primary care provider established in Charleston, West Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1861895427 assigned on September 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Kanawha City Health Center Lab operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kanawha City Health Center Lab. The authorized official of this NPI record is Jennifer Russell (Administrative Assistant)

NPI
1861895427
Provider Legal Name
CABIN CREEK HEALTH CENTER INC.
Other Organization Name
KANAWHA CITY HEALTH CENTER LAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4602 MACCORKLE AVE SE CHARLESTON, WV 25304
Location Phone
(304) 734-2040
Location Fax
(304) 734-2047
Mailing Address
PO BOX 70 DAWES, WV 25054
Mailing Phone
(304) 734-2040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2014
Last Update Date
09-26-2014
Code Navigator

A primary care provider (PCP) like Kanawha City Health Center Lab 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
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

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

JENNIFER RUSSELL

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(304) 734-2040

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
C703MEDICARE PIN (08)WV 

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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 1861895427, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 6 + 9 + 1 + 0 + 4 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1861895427.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Urgent Care)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Federally Qualified Health Center (FQHC))
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Internal Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
4602 MACCORKLE AVE SE, 81 LINCOLN PANTHER WAY
CHARLESTON, WV 25304
Social Worker (Clinical)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist (Clinical)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine (Addiction Medicine)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Psychologist
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861895427, enumerated as an "organization" on September 26, 2014.

The provider is located at 4602 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 734-2040.

Family Medicine with taxonomy code 207Q00000X.

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