NOBLE COMMUNITY CLINICS
NPI 1124276324
Family Medicine in Wautoma, WI
NPI Status: Active since September 03, 2008
Contact Information
400 S TOWNLINE RD
WAUTOMA, WI
ZIP 54982
Phone: (920) 787-5514
Fax: (920) 787-4737
- Organization
- Family Medicine
- CLIA Number: 52D2273491
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-13-2026
About NOBLE COMMUNITY CLINICS
This page provides the complete NPI Profile along with additional information for Noble Community Clinics, a primary care provider established in Wautoma, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1124276324 assigned on September 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Noble Community Clinics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Noble Community Clinics. The authorized official of this NPI record is Erin Lamore (Enrollment And Contract Specialist)
- NPI
- 1124276324
- Provider Legal Name
- LA CLINICA DE LOS CAMPESINOS, INC
- Other Organization Name
- NOBLE COMMUNITY CLINICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 S TOWNLINE RD WAUTOMA, WI 54982
- Location Phone
- (920) 787-5514
- Location Fax
- (920) 787-4737
- Mailing Address
- PO BOX 1440 400 S TOWNLINE RD WAUTOMA, WI 54982
- Mailing Phone
- (920) 787-5514
- Mailing Fax
- (920) 787-4737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-03-2008
- Last Update Date
- 06-04-2024
- Code Navigator
A primary care provider (PCP) like Noble Community Clinics 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- WI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist |
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.
*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 |
|---|---|---|---|
| 32955200 | MEDICAID (05) | WI | |
| 70030 | OTHER (01) | WI | MEDICARE |
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
- 52D2273491
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 14, 2024
- Certificate Expiration Date
- December 13, 2026
- Laboratory Director
- DR. KEVIN THAO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Noble Community Clinics 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 NOBLE COMMUNITY CLINICS
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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 | 1 | 2 | 4 | 2 | 7 | 6 | 3 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 4 | 7 | 12 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 4 + 7 + 1 + 2 + 3 + 4 + 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 1124276324 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841294873 | RONALD W RISTOW DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1578567509 | EDWARD J MCGRATH DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1811066335 | KAREN E MCQUOWN DENTAL HYGIENIST Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1093994956 | JANET KRIEDERMANN RECORE RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1477789436 | BONNIE SUE MONAGHAN RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1740594944 | THOMAS C ALDRIDGE DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1134479116 | HOLLY L KRIZAN RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1881946671 | TANYA L PIERCE RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1326486440 | NATHAN L DAILY DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1962671784 | MRS. ROSANNE ELAINE LOWRIE ARNP Individual | Nurse Practitioner (Family) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1295739225 | JUAN SEBASTIAN PRECIADO-RIESTRA MD Individual | Family Medicine | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-4737 |
| 1760652846 | DR. LARRY DALE ROWLAND DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1194908236 | DR. JOAN L. FOX DDS Individual | Dentist (General Practice) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1831117852 | CHESTON E PRICE M.D. Individual | Family Medicine | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1659812741 | CHRISTIANA NICHOLS RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1376079343 | DOREEN ROMANSKI RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1922538396 | KATHLEEN BUSSE RDH Individual | Dental Hygienist | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1366446304 | LAURIE A VAN GRINSVEN PA-C Individual | Physician Assistant | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1134603731 | AMY SCHOENOFF APNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
| 1225512395 | PAIGE DORSEY APNP Individual | Nurse Practitioner (Family) | 400 S TOWNLINE RD WAUTOMA, WI 54982 (920) 787-5514 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124276324, enumerated in the NPI registry as an "organization" on September 03, 2008
The provider is located at 400 S Townline Rd Wautoma, Wi 54982 and the phone number is (920) 787-5514
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
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.
The provider's CLIA number is 52D2273491 for a "federally qualified health center" 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 September 03, 2008. 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.