SOUTHWEST MEDICAL CLINIC
NPI 1023083714
Clinic/Center in Bowman, ND
NPI Status: Active since February 17, 2006
Contact Information
802 2ND ST NW
BOWMAN, ND
ZIP 58623
Phone: (701) 523-5555
Fax: (701) 523-7107
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 35D0409087
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-31-2026
About SOUTHWEST MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Southwest Medical Clinic, a provider established in Bowman, North Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023083714 assigned on February 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Southwest Medical Clinic. The authorized official of this NPI record is Mrs. Lisa Knopp (Clinic Manager)
- NPI
- 1023083714
- Provider Legal Name
- SOUTHWEST HEALTH CARE SERVICES
- Other Organization Name
- SOUTHWEST MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 802 2ND ST NW BOWMAN, ND 58623
- Location Phone
- (701) 523-5555
- Location Fax
- (701) 523-7107
- Mailing Address
- 802 2ND ST NW STE 1 BOWMAN, ND 58623
- Mailing Phone
- (701) 523-5555
- Mailing Fax
- (701) 523-7107
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2006
- Last Update Date
- 08-19-2024
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- 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:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- 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
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.
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 |
|---|---|---|---|
| 11469 | MEDICAID (05) | ND | |
| 1134779-00 | MEDICAID (05) | MN |
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
- 35D0409087
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JODI BREWER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwest Medical 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 SOUTHWEST MEDICAL 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. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 8 | 3 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 8 | 6 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 8 + 6 + 7 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1023083714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114914140 | SOUTHWEST HEALTHCARE SERVICES Organization | Skilled Nursing Facility | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-3214 |
| 1477544054 | SOUTHWEST HEALTHCARE SERVICES Organization | Assisted Living Facility | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-3214 |
| 1477529030 | SOUTHWEST HEALTHCARE SERVICES Organization | General Acute Care Hospital (Critical Access) | 802 2ND ST NW SUITE 1 BOWMAN, ND 58623 (701) 523-5555 |
| 1831851146 | SOUTHWEST HEALTHCARE SERVICES Organization | Assisted Living Facility | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-5555 |
| 1750385399 | MRS. CHRISTINE R PETERSON FNP Individual | Nurse Practitioner (Family) | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-5555 |
| 1891893624 | SOUTHWEST HEALTHCARE SERVICES Organization | Clinic/Center (Rural Health) | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-5555 |
| 1659323970 | DR. MATTHEW FREDERICK FELLER MD PA Individual | Internal Medicine | 802 2ND ST NW BOWMAN, ND 58623 (701) 523-5555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023083714, enumerated in the NPI registry as an "organization" on February 17, 2006
The provider is located at 802 2nd St Nw Bowman, Nd 58623 and the phone number is (701) 523-5555
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, 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 35D0409087 for a "community clinic" 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 February 17, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.