TRI CITY HEALTH PARTNERSHIP
NPI 1073899118
Clinic/Center - Community Health in St Charles, IL

NPI Status: Active since November 02, 2011

Contact Information

318 WALNUT ST
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-9277

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 14D2080484
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-07-2026

About TRI CITY HEALTH PARTNERSHIP

This page provides the complete NPI Profile along with additional information for Tri City Health Partnership, a primary care provider established in St Charles, Illinois operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1073899118 assigned on November 2011. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Shannon Watson (Executive Director)

NPI
1073899118
Provider Name
TRI CITY HEALTH PARTNERSHIP
Entity Type
Organization
Location Address
318 WALNUT ST ST CHARLES, IL 60174
Location Phone
(630) 377-9277
Mailing Address
318 WALNUT ST ST CHARLES, IL 60174
Mailing Phone
(630) 377-9277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2011
Last Update Date
11-02-2011
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A primary care provider (PCP) like Tri City Health Partnership 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 Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

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

SHANNON WATSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(630) 377-9277

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
14D2080484
Facility Type
Community Clinic
Certificate Effective Date
July 08, 2024
Certificate Expiration Date
July 07, 2026
Laboratory Director
SARAH T. KIMBER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri City Health Partnership 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.

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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.
1073899118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431691812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 9 + 1 + 8 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1073899118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942441027DR. SARAH TITUS KIMBER M.D.
Individual
Family Medicine318 WALNUT ST
SAINT CHARLES, IL 60174
(630) 377-9277
1831475557MS. BETH ANN BILSLEY NP
Individual
Nurse Practitioner (Adult Health)318 WALNUT ST
ST CHARLES, IL 60174
(630) 337-9277
1831108208MS. JANETTE SUE JONES APRN
Individual
Nurse Practitioner (Family)318 WALNUT ST
ST CHARLES, IL 60174
(630) 377-9277
1962038679DR. GARY MARSHALL KOHN MD
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)318 WALNUT ST
ST CHARLES, IL 60174
(630) 377-9277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073899118, enumerated in the NPI registry as an "organization" on November 02, 2011

The provider is located at 318 Walnut St St Charles, Il 60174 and the phone number is (630) 377-9277

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider's CLIA number is 14D2080484 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 November 02, 2011. 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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