BREAKBUSH CENTER FOR HEALTH
NPI 1073067013
Clinic/Center - Primary Care in Westfield, WI

NPI Status: Active since August 08, 2016

Contact Information

N4993 6TH DR
WESTFIELD, WI
ZIP 53964
Phone: (608) 296-2121

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  • Organization
  • Clinic/Center
  • Primary Care

About BREAKBUSH CENTER FOR HEALTH

This page provides the complete NPI Profile along with additional information for Breakbush Center For Health, a primary care provider established in Westfield, Wisconsin operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1073067013 assigned on August 2016. The practitioner's primary taxonomy code is 261QP2300X with license number 1417905035 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Breakbush Center For Health. The authorized official of this NPI record is Michelle D Ruth (Implementation & Training Coordinat)

NPI
1073067013
Provider Legal Name
INTERRA HEALTH INC.
Other Organization Name
BREAKBUSH CENTER FOR HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
N4993 6TH DR WESTFIELD, WI 53964
Location Phone
(608) 296-2121
Mailing Address
8919 W HEATHER AVE MILWAUKEE, WI 53224
Mailing Phone
(414) 375-1600
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2016
Last Update Date
05-07-2019
Code Navigator

A primary care provider (PCP) like Breakbush Center For Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
1417905035
License State
WI

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

MICHELLE D RUTH

Authorized Official Title
IMPLEMENTATION & TRAINING COORDINAT
Authorized Official Phone
(414) 375-1600

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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.
1073067013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143061402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 6 + 1 + 4 + 0 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1073067013 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871127092PROACTIVE MD WI SC
Organization
Clinic/Center (Primary Care)N4993 6TH DR
WESTFIELD, WI 53964
(812) 645-1892
1528391539MR. TERRY A. GANDER PA
Individual
Physician AssistantN4993 6TH DR
WESTFIELD, WI 53964
(608) 296-2121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073067013, enumerated in the NPI registry as an "organization" on August 08, 2016

The provider is located at N4993 6th Dr Westfield, Wi 53964 and the phone number is (608) 296-2121

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

This NPI record was last updated on August 08, 2016. 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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