FIRST CARE MEDICAL, PC OF RAVENNA
NPI 1215171624
Clinic/Center in Ravenna, NE
NPI Status: Active since April 29, 2009
Contact Information
104 W SENECA ST
RAVENNA, NE
ZIP 68869
Phone: (308) 236-7016
Fax: (308) 236-7027
- Organization
- Clinic/Center
About FIRST CARE MEDICAL, PC OF RAVENNA
This page provides the complete NPI Profile along with additional information for First Care Medical, Pc Of Ravenna, a provider established in Ravenna, Nebraska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215171624 assigned on April 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is First Care Medical, Pc Of Ravenna. The authorized official of this NPI record is Mr. Aaron J Madsen Mba, Atc, Nremt (Clinic Administrator)
- NPI
- 1215171624
- Provider Legal Name
- FIRST CARE MEDICAL, PC
- Other Organization Name
- FIRST CARE MEDICAL, PC OF RAVENNA
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 104 W SENECA ST RAVENNA, NE 68869
- Location Phone
- (308) 236-7016
- Location Fax
- (308) 236-7027
- Mailing Address
- 104 W SENECA ST PO BOX 125 RAVENNA, NE 68869
- Mailing Phone
- (308) 236-7016
- Mailing Fax
- (308) 236-7027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-29-2009
- Last Update Date
- 09-10-2015
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License State
- NE
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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.
*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 |
|---|---|---|---|
| 28D1100092 | OTHER (01) | NE | CLIA ID # |
| DP1168 | OTHER (01) | NE | RAILROAD MEDICARE PTAN |
| NA1259 | OTHER (01) | NE | MEDICARE PTAN |
| 10025764700 | MEDICAID (05) | NE |
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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 | 2 | 1 | 5 | 1 | 7 | 1 | 6 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 7 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 7 + 2 + 6 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1215171624 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 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821040536 | RYAN J LIESKE PA-C Individual | Physician Assistant | 104 W SENECA ST RAVENNA, NE 68869 (308) 452-3203 |
| 1851812721 | RAVENNA MEDICAL CLINIC PC Organization | Clinic/Center (Rural Health) | 104 W SENECA ST RAVENNA, NE 68869 (308) 452-3203 |
| 1699305896 | HEARTLAND HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 104 W SENECA ST RAVENNA, NE 68869 (308) 382-4297 |
| 1376067124 | MICHELLE E. CLARK APRN Individual | Nurse Practitioner | 104 W SENECA ST RAVENNA, NE 68869 (308) 452-3203 |
| 1225706351 | JOSEPH MORROW LMHP Individual | Counselor (Mental Health) | 104 W SENECA ST RAVENNA, NE 68869 (308) 452-3203 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215171624, enumerated in the NPI registry as an "organization" on April 29, 2009
The provider is located at 104 W Seneca St Ravenna, Ne 68869 and the phone number is (308) 236-7016
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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 April 29, 2009. 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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