OMC SKYWAY CLINIC
NPI 1013277789
Clinic/Center in Rochester, MN

NPI Status: Active since May 29, 2012

Contact Information

318 1ST AVE SW
SUITE 203
ROCHESTER, MN
ZIP 55902
Phone: (507) 529-6616

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 24D1077667
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-16-2025

About OMC SKYWAY CLINIC

This page provides the complete NPI Profile along with additional information for Omc Skyway Clinic, a provider established in Rochester, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013277789 assigned on May 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Omc Skyway Clinic. The authorized official of this NPI record is Kevin Higgins (Cfo)

NPI
1013277789
Provider Legal Name
OLMSTED MEDICAL CENTER
Other Organization Name
OMC SKYWAY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
318 1ST AVE SW SUITE 203 ROCHESTER, MN 55902
Location Phone
(507) 529-6616
Mailing Address
201 9TH ST SE ROCHESTER, MN 55904
Mailing Phone
(507) 592-6616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2012
Last Update Date
05-29-2012
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*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

KEVIN HIGGINS

Authorized Official Title
CFO
Authorized Official Phone
(507) 529-6619

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
24D1077667
Facility Type
Physician Office
Certificate Effective Date
December 17, 2023
Certificate Expiration Date
December 16, 2025
Laboratory Director
DEBRA GROTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Omc Skyway 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.

Reviews for OMC SKYWAY CLINIC

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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.
1013277789
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20234714716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 4 + 7 + 1 + 4 + 7 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1013277789 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174890784MS. ASHLEY R BOLDIN CPHT
Individual
Student in an Organized Health Care Education/Training Program318 1ST AVE SW #908
ROCHESTER, MN 55902
(501) 772-4399
1306155817 ANNE M BEIGHLEY APRN, CNP
Individual
Nurse Practitioner (Family)318 1ST AVE SW
ROCHESTER, MN 55902
(507) 292-7250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013277789, enumerated in the NPI registry as an "organization" on May 29, 2012

The provider is located at 318 1st Ave Sw Suite 203 Rochester, Mn 55902 and the phone number is (507) 529-6616

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D1077667 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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