GAMMA HEALTHCARE INC
NPI 1154406619
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Poplar Bluff, MO

NPI Status: Active since October 25, 2006

Contact Information

1717 W MAUD ST
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 727-5600
Fax: (573) 785-0753

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About GAMMA HEALTHCARE INC

This page provides the complete NPI Profile along with additional information for Gamma Healthcare Inc, a provider established in Poplar Bluff, Missouri operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1154406619 assigned on October 2006. The practitioner's primary taxonomy code is 335V00000X with license number 9822 (MO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Jerry W Murphy (Chairman & Ceo)

NPI
1154406619
Provider Name
GAMMA HEALTHCARE INC
Entity Type
Organization
Location Address
1717 W MAUD ST POPLAR BLUFF, MO 63901
Location Phone
(573) 727-5600
Location Fax
(573) 785-0753
Mailing Address
1717 W MAUD ST POPLAR BLUFF, MO 63901
Mailing Phone
(573) 727-5600
Mailing Fax
(573) 785-0753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2006
Last Update Date
08-29-2016
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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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
License No.
9822
License State
MO
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

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)
1335V00000XSuppliers

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

OT00222 (AR)
2335V00000XSuppliers

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

9259424 (IL)
3335V00000XSuppliers

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

99-9-103 (MS)
4335V00000XSuppliers

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

223-0076 (TN)

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.

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. JERRY W MURPHY

Authorized Official Title
CHAIRMAN & CEO
Authorized Official Phone
(573) 727-5600

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
630001686OTHER (01)MOMEDICARE RAILROAD
162202OTHER (01)MOBLUE CROSS BLUE SHIELD
711734103MEDICAID (05)MO 
7708309MEDICAID (05)MS 
2458112OTHER (01)MOUNITED HEALTHCARE
2458112OTHER (01)MOUHC MEDICARE COMPLETE
102G638325MEDICARE PIN (08)AL 
102G633555MEDICARE PIN (08)TN 
000013553MEDICARE PIN (08)MO 
270677MEDICARE PIN (08)AR 
135925709MEDICAID (05)AR 
302G638288MEDICARE PIN (08)MS 
470766OTHER (01)MOHEALTHLINK
=========OTHER (01)MOFIRST HEALTH

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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.
1154406619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104801262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 0 + 1 + 2 + 6 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1154406619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083690077 ROBERT JOSEPH CACCHIONE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1717 W MAUD ST
POPLAR BLUFF, MO 63901
(573) 727-5872
1740361690GAMMA HEALTHCARE INC
Organization
Clinical Medical Laboratory1717 W MAUD ST
POPLAR BLUFF, MO 63901
(573) 727-5600
1023420072GAMMA HEALTHCARE, INC
Organization
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier1717 W MAUD ST
POPLAR BLUFF, MO 63901
(573) 727-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154406619, enumerated in the NPI registry as an "organization" on October 25, 2006

The provider is located at 1717 W Maud St Poplar Bluff, Mo 63901 and the phone number is (573) 727-5600

This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. 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 October 25, 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.