OUR LADY OF THE ROSES PRIMARY CARE
NPI 1205207933
Clinic/Center - Migrant Health in Columbus, GA

NPI Status: Active since October 07, 2015

Contact Information

808 21ST ST
COLUMBUS, GA
ZIP 31904
Phone: (706) 587-5771

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  • Organization
  • Clinic/Center
  • Migrant Health

About OUR LADY OF THE ROSES PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Our Lady Of The Roses Primary Care, a provider established in Columbus, Georgia operating as a Clinic/center, focusing in migrant health . The healthcare provider is registered in the NPI registry with number 1205207933 assigned on October 2015. The practitioner's primary taxonomy code is 261QM1000X with license number RN042301 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Gerald William Wieczorek (Business Manager)

NPI
1205207933
Provider Name
OUR LADY OF THE ROSES PRIMARY CARE
Entity Type
Organization
Location Address
808 21ST ST COLUMBUS, GA 31904
Location Phone
(706) 587-5771
Mailing Address
PO BOX 1957 FORTSON, GA 31808
Mailing Phone
(706) 587-5771
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2015
Last Update Date
10-07-2015
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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 Migrant Health

Taxonomy Code
261QM1000X
Type
Ambulatory Health Care Facilities
License No.
RN042301
License State
GA

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. GERALD WILLIAM WIECZOREK

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(706) 327-4880

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
P28100MEDICARE UPIN (02)GA 
126693MEDICAID (05)AL 
000901106DMEDICAID (05)GA 

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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.
1205207933
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205401496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 0 + 1 + 4 + 9 + 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 = 33

The NPI number 1205207933 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760445753 ANNELIESE CHAI PA-C
Individual
Physician Assistant808 21ST ST
COLUMBUS, GA 31904
(706) 221-2401
1801119375OUR LADY OF THE ROSES PRIMARY CARE
Organization
Nurse Practitioner808 21ST ST
COLUMBUS, GA 31904
(706) 221-7232
1013087386 SUSAN CAROL WIECZOREK NP-C, CWOCN
Individual
Nurse Practitioner (Family)808 21ST ST
COLUMBUS, GA 31904
(706) 321-3901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205207933, enumerated in the NPI registry as an "organization" on October 07, 2015

The provider is located at 808 21st St Columbus, Ga 31904 and the phone number is (706) 587-5771

This medical organization specializes in Clinic/Center with taxonomy code 261QM1000X with a focus in Migrant Health

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 October 07, 2015. 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.