VIVENT HEALTH INC
NPI 1144513128
Clinic/Center - Health Service in Kenosha, WI

NPI Status: Active since May 24, 2011

Contact Information

1212 57TH ST
KENOSHA, WI
ZIP 53140
Phone: (262) 657-6644
Fax: (262) 657-6949

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  • Organization
  • Clinic/Center
  • Health Service

About VIVENT HEALTH INC

This page provides the complete NPI Profile along with additional information for Vivent Health Inc, a provider established in Kenosha, Wisconsin operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1144513128 assigned on May 2011. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Tim Dyer (Exec Vp)

NPI
1144513128
Provider Name
VIVENT HEALTH INC
Entity Type
Organization
Location Address
1212 57TH ST KENOSHA, WI 53140
Location Phone
(262) 657-6644
Location Fax
(262) 657-6949
Mailing Address
820 N PLANKINTON AVE MILWAUKEE, WI 53203
Mailing Phone
(414) 225-1542
Mailing Fax
(262) 657-6949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2011
Last Update Date
05-12-2022
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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. TIM DYER

Authorized Official Title
EXEC VP
Authorized Official Phone
(866) 525-5484

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
32895000MEDICAID (05)WI 

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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.
1144513128
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184101614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 1 + 6 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1144513128 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851946818 KELSEY LYNN BOHR NP
Individual
Nurse Practitioner (Family)1212 57TH ST
KENOSHA, WI 53140
(262) 657-6644
1841584232VIVENT HEALTH INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1212 57TH ST
KENOSHA, WI 53140
(262) 657-6644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144513128, enumerated in the NPI registry as an "organization" on May 24, 2011

The provider is located at 1212 57th St Kenosha, Wi 53140 and the phone number is (262) 657-6644

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

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 May 24, 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].
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.