PAMIDA HOME MEDICAL EQUIPMENT 177
NPI 1124065875
Durable Medical Equipment & Medical Supplies in Clintonville, WI

NPI Status: Active since June 01, 2006

Contact Information

8 S MAIN ST
CLINTONVILLE, WI
ZIP 54929
Phone: (715) 823-2106
Fax: (715) 823-1322

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About PAMIDA HOME MEDICAL EQUIPMENT 177

This page provides the complete NPI Profile along with additional information for Pamida Home Medical Equipment 177, a provider established in Clintonville, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1124065875 assigned on June 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Pamida Home Medical Equipment 177. The authorized official of this NPI record is Mr. Paul E Rothamel (Ceo/president)

NPI
1124065875
Provider Legal Name
PAMIDA STORES OPERATING CO. LLC
Other Organization Name
PAMIDA HOME MEDICAL EQUIPMENT 177
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8 S MAIN ST CLINTONVILLE, WI 54929
Location Phone
(715) 823-2106
Location Fax
(715) 823-1322
Mailing Address
8 S MAIN ST CLINTONVILLE, WI 54929
Mailing Phone
(715) 823-2106
Mailing Fax
(715) 823-1322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2006
Last Update Date
04-14-2008
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
2332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

 
3332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 
4332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 

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.

*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

MR. PAUL E ROTHAMEL

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(402) 596-7499

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
5105475OTHER (01)NCPDP NUMBER
0459230123MEDICARE ID-TYPE UNSPECIFIED (04) 
41738400MEDICAID (05)WI 
5694490114OTHER (01)MEDICARE

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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.
1124065875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440610814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 6 + 1 + 0 + 8 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1124065875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467794628 MOSTAFA A IBRAHIM
Individual
Pharmacist8 S MAIN ST
CLINTONVILLE, WI 54929
(715) 823-2222
1598152845 MOHAMED RASEKH
Individual
Pharmacist8 S MAIN ST
CLINTONVILLE, WI 54929
(715) 823-2222
1164509154ERICKSON HOME MEDICAL EQUIPMENT LLC
Organization
Durable Medical Equipment & Medical Supplies8 S MAIN ST
CLINTONVILLE, WI 54929
(715) 823-2106
1992343289ERICKSON PHARMACY LLC
Organization
Pharmacy (Long Term Care Pharmacy)8 S MAIN ST
CLINTONVILLE, WI 54929
(715) 823-2222
1174815237SHREE LAXMI LLC
Organization
Pharmacy (Community/Retail Pharmacy)8 S MAIN ST STE B
CLINTONVILLE, WI 54929
(715) 823-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124065875, enumerated in the NPI registry as an "organization" on June 01, 2006

The provider is located at 8 S Main St Clintonville, Wi 54929 and the phone number is (715) 823-2106

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 June 01, 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.