SOUTHGATE MEDICAL OF KY, INC
NPI 1134269384
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Covington, KY

NPI Status: Active since February 07, 2007

Contact Information

425 GARRARD ST
COVINGTON, KY
ZIP 41011
Phone: (859) 292-8880
Fax: (859) 292-8923

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Parenteral & Enteral Nutrition

About SOUTHGATE MEDICAL OF KY, INC

This page provides the complete NPI Profile along with additional information for Southgate Medical Of Ky, Inc, a provider established in Covington, Kentucky operating as a Durable Medical Equipment & Medical Supplies, focusing in parenteral & enteral nutrition . The healthcare provider is registered in the NPI registry with number 1134269384 assigned on February 2007. The practitioner's primary taxonomy code is 332BP3500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Ralph L Stacey Ii (Owner Administrator)

NPI
1134269384
Provider Name
SOUTHGATE MEDICAL OF KY, INC
Entity Type
Organization
Location Address
425 GARRARD ST COVINGTON, KY 41011
Location Phone
(859) 292-8880
Location Fax
(859) 292-8923
Mailing Address
425 GARRARD ST COVINGTON, KY 41011
Mailing Phone
(859) 292-8880
Mailing Fax
(859) 292-8923
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
08-22-2020
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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 Parenteral & Enteral Nutrition

Taxonomy Code
332BP3500X
Type
Suppliers

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. RALPH L STACEY II

Authorized Official Title
OWNER ADMINISTRATOR
Authorized Official Phone
(859) 292-8880

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
9047059200MEDICAID (05)KY 

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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.
1134269384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21644618316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 6 + 1 + 8 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1134269384 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437393659 TERESA NICOLE SCHMIDT PTA
Individual
Physical Therapy Assistant425 GARRARD ST
COVINGTON, KY 41011
(859) 581-9393
1811122401 DEBORAH J SHARPE CCC-SLP
Individual
Speech-Language Pathologist425 GARRARD ST
COVINGTON, KY 41011
(859) 581-9393
1558698977 REBECCA L GARNICK MS/CCC-SLP
Individual
Speech-Language Pathologist425 GARRARD ST
COVINGTON, KY 41011
(859) 581-9393
1255319471GARRARD CONVALESCENT HOME SNF
Organization
Nursing Facility/Intermediate Care Facility425 GARRARD ST
COVINGTON, KY 41011
(859) 581-9393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134269384, enumerated in the NPI registry as an "organization" on February 07, 2007

The provider is located at 425 Garrard St Covington, Ky 41011 and the phone number is (859) 292-8880

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X with a focus in Parenteral & Enteral Nutrition

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 February 07, 2007. 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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