TUNICA ROSA FORT SCHOOL BASED CLINIC
NPI 1912905993
Clinic/center, Federally Qualified Health Center (fqhc) in Tunica,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 13, 2005

Contact Information

744 School St
Tunica,
Post Code: 38676
Phone: (662) 363-3971
Fax: (662) 363-3789

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Tunica Rosa Fort School Based Clinic in Tunica - Clinic/Center, Federally Qualified Health Center (FQHC)

Tunica Rosa Fort School Based Clinic is a Clinic/Center, Federally Qualified Health Center (FQHC) in Tunica, . Tunica Rosa Fort School Based Clinic practices all healthcare services and medical treatments related to Clinic/Center, Federally Qualified Health Center (FQHC). The NPI Number for Tunica Rosa Fort School Based Clinic is 1912905993. The last update date is 2020-06-01.

Tunica Rosa Fort School Based Clinic's current location address is 744 School St, Tunica, . You can contact this provider via phone number (662) 363-3971 and fax number (662) 363-3789. The mailing address for Tunica Rosa Fort School Based Clinic is 744 School St, Tunica, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1912905993
Provider Legal Name
AARON E HENRY COMMUNITY HEALTH
Other Organization Name
TUNICA ROSA FORT SCHOOL BASED CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
744 School St, Tunica,
Location Phone
(662) 363-3971
Location Fax
(662) 363-3789
Mailing Address
510 Highway 322, Clarksdale, Mississippi(MS)
Mailing Phone
662-624-4292
Mailing Fax
662-624-4354
Enumeration Date
2005-07-13
Last Update Date
2020-06-01
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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
01173078 MEDICAID (05) Mississippi (MS)

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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.
1912905993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218010918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 292218010918
2 + 9 + 2 + 2 + 1 + 8 + 0 + 1 + 0 + 9 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1912905993 is valid because the calculated check digit 3 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.

NPI Name / Type Taxonomy Address
1669475695 LYNN BRYCE MCMAHAN
Individual
Ophthalmology 1420 S 28TH AVE
HATTIESBURG, Mississippi (MS)
601-264-3937
1255334280 JAMES KENNETH HENSARLING
Individual
Internal Medicine, Rheumatology 4436 MANGUM DR.
FLOWOOD, Mississippi (MS)
601-982-7363
1154324366 RAY JAIME RODRIGUEZ
Individual
Allergy & Immunology 7730 OLD CANTON RD BLDG B
MADISON, Mississippi (MS)
601-499-0935
1326041591 SCOTT T BRADLEY
Individual
Ophthalmology 425 HOSPITAL DR
COLUMBUS, Mississippi (MS)
662-328-2061
1366445520 WILLIAM MEEK GILLESPIE
Individual
Ophthalmology 425 HOSPITAL DR
COLUMBUS, Mississippi (MS)
662-328-2061