DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND
NPI 1174627483
Clinic/Center - Rural Health in Washington Island, WI
NPI Status: Active since September 08, 2006
Contact Information
910 MAIN RD
WASHINGTON ISLAND, WI
ZIP 54246
Phone: (920) 847-2424
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 52D0662859
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-06-2025
About DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND
This page provides the complete NPI Profile along with additional information for Door County Medical Center Washington Island, a primary care provider established in Washington Island, Wisconsin operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1174627483 assigned on September 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Door County Medical Center Washington Island. The authorized official of this NPI record is Mr. Andrew S Laluzerne (Cfo)
- NPI
- 1174627483
- Provider Legal Name
- DOOR COUNTY MEMORIAL HOSPITAL
- Other Organization Name
- DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 910 MAIN RD WASHINGTON ISLAND, WI 54246
- Location Phone
- (920) 847-2424
- Mailing Address
- 323 S 18TH AVE STURGEON BAY, WI 54235
- Mailing Phone
- (920) 743-5566
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 04-06-2022
- Code Navigator
A primary care provider (PCP) like Door County Medical Center Washington Island 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- 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:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
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 |
|---|---|---|---|
| 1174627483 | MEDICAID (05) | WI |
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
- 52D0662859
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 07, 2023
- Certificate Expiration Date
- November 06, 2025
- Laboratory Director
- DR. BETH A. LUX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Door County Medical Center Washington Island 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 DOOR COUNTY MEDICAL CENTER WASHINGTON ISLAND
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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 | 7 | 4 | 6 | 2 | 7 | 4 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 12 | 2 | 14 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 2 + 2 + 1 + 4 + 4 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1174627483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790950293 | BARBARA HEILMAN Individual | Nurse Practitioner (Family) | 910 MAIN RD WASHINGTON ISLAND, WI 54246 (920) 847-2424 |
| 1982136248 | NOR-DOOR ISLAND EYECARE INC Organization | Optometrist | 910 MAIN RD WASHINGTON ISLAND, WI 54246 (920) 847-3093 |
| 1538355839 | CAROLINE REITER OD Individual | Optometrist | 910 MAIN RD BOX 22 WASHINGTON ISLAND, WI 54246 (920) 847-3093 |
| 1629787114 | DOOR COUNTY MEMORIAL HOSPITAL Organization | Non-Pharmacy Dispensing Site | 910 MAIN RD WASHINGTON ISLAND, WI 54246 (920) 743-5566 |
| 1154576551 | MRS. ROBYN MARIE WEILBAKER CNP Individual | Nurse Practitioner | 910 MAIN RD WASHINGTON ISLAND, WI 54246 (920) 847-2424 |
| 1447233259 | DR. BETH A LUX M.D. Individual | Emergency Medicine | 910 MAIN RD WASHINGTON ISLAND, WI 54246 (920) 847-2424 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174627483, enumerated in the NPI registry as an "organization" on September 08, 2006
The provider is located at 910 Main Rd Washington Island, Wi 54246 and the phone number is (920) 847-2424
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0662859 for a "rural health clinic" 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 08, 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.