ABUNDANT LIFE MEDICAL CLINIC, LLC
NPI 1912910688
Legal Medicine in Taylorville, IL

NPI Status: Active since August 14, 2006

Contact Information

1141 N CHENEY ST
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-2524
Fax: (217) 824-2588

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Legal Medicine

About ABUNDANT LIFE MEDICAL CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Abundant Life Medical Clinic, Llc, a provider established in Taylorville, Illinois operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1912910688 assigned on August 2006. The practitioner's primary taxonomy code is 173000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Miss Gerry A Klinefelter (Office Manager)

NPI: 1912910688
Provider Name: ABUNDANT LIFE MEDICAL CLINIC, LLC
Entity Type: Organization
Location Address: 1141 N CHENEY ST TAYLORVILLE, IL 62568
Location Phone: (217) 824-2524
Location Fax: (217) 824-2588
Mailing Address: 1141 N CHENEY ST TAYLORVILLE, IL 62568
Mailing Phone: (217) 824-2524
Mailing Fax: (217) 824-2588
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-14-2006
Last Update Date: 01-15-2009
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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: Legal Medicine
Taxonomy Code: 173000000X
Type: Other Service Providers
Taxonomy Description: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: MISS GERRY A KLINEFELTER
Authorized Official Title: OFFICE MANAGER
Authorized Official Phone: (217) 824-2524

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
952810	MEDICARE PIN (08)	IL

NPI Validation Check Digit Calculation

The following table explains the step by step 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.
1	9	1	2	9	1	0	6	8	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	2	2	18	1	0	6	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 1 + 0 + 6 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1912910688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

MRS. GERRY A KLINEFELTER RN, FNP

Nurse Practitioner

(Family)