BROADWAY MEDICAL CENTER
NPI 1033180930
Specialist in Alexandria, MN

NPI Status: Active since January 30, 2006

Contact Information

1527 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-0399
Fax: (320) 762-6847

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  • Organization
  • Specialist

About BROADWAY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Broadway Medical Center, a provider established in Alexandria, Minnesota operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1033180930 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number 590 (MN). The provider is registered as an organization and their NPI record was last updated 13 years ago. Broadway Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Charlene A Myren (Assistant Administrator)

NPI
1033180930
Provider Name
BROADWAY MEDICAL CENTER
Entity Type
Organization
Location Address
1527 BROADWAY ST ALEXANDRIA, MN 56308
Location Phone
(320) 762-0399
Location Fax
(320) 762-6847
Mailing Address
1527 BROADWAY ST ALEXANDRIA, MN 56308
Mailing Phone
(320) 762-0399
Mailing Fax
(320) 762-6847
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2006
Last Update Date
02-08-2012
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
590
License State
MN
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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:

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.

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

CHARLENE A MYREN

Authorized Official Title
ASSISTANT ADMINISTRATOR
Authorized Official Phone
(320) 762-6841

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
C02166MEDICARE PIN (08)MN 
365838400MEDICAID (05)MN 
31T03BROTHER (01)MNBCBS

Reviews for BROADWAY MEDICAL CENTER

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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.
1033180930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206328096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 8 + 0 + 9 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033180930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1649279753DR. THOMAS JOSEPH HOLSINGER D.P.M.
Individual
Podiatrist (Primary Podiatric Medicine)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1245210848 KRISTI A GAGNE MD
Individual
Specialist1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1386614568 BILLIE K GLADE MD
Individual
Specialist1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1811967094 CHARLES E MCKINZIE MD
Individual
Specialist1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1790755106 MARK A HELGESON PA-C
Individual
Physician Assistant (Medical)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1922078344 JODI M NICHOLSON PA-C
Individual
Physician Assistant (Medical)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1144291352 JULIE J MILLER LRD,CDE
Individual
Dietitian, Registered1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1275504383 FERDINAND R MAKALINAO MD
Individual
Specialist1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1497728836 DAVID J. ODLAND MD
Individual
Emergency Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1356355457 JESSICA R PAULSEN PA-C
Individual
Physician Assistant1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1821269838 BEVERLY J PAUL RN
Individual
Nutritionist (Nutrition, Education)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1063492619 JEANNE M HOWELL CNM
Individual
Advanced Practice Midwife1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1457303000DR. ROXANNE MARIE ANDERSON PHD
Individual
Psychologist1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 763-4587
1730169251 SCOTT T HEGSTAD MD
Individual
Family Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1235109430 RANDY J PETERSON MD
Individual
Family Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1518937911 BRUCE A EVINK MD
Individual
Family Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1376513770 SCOTT A SUNDBY MD
Individual
Family Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-6841
1205807310 MARIA LYDIA PATACSIL MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1508837774 ROBERTA J MONTGOMERY CNP
Individual
Nurse Practitioner (Family)1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399
1922078104 PAUL C FLORELL MD
Individual
Internal Medicine1527 BROADWAY ST
ALEXANDRIA, MN 56308
(320) 762-0399

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033180930, enumerated in the NPI registry as an "organization" on January 30, 2006

The provider is located at 1527 Broadway St Alexandria, Mn 56308 and the phone number is (320) 762-0399

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 30, 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.