TIOGA MEDICAL CENTER CLINIC
NPI 1245296078
Clinic/Center in Tioga, ND
NPI Status: Active since April 21, 2006
Contact Information
810 N WELO ST
TIOGA, ND
ZIP 58852
Phone: (701) 664-3368
Fax: (701) 664-3300
- Organization
- Clinic/Center
- Accepts Insurance
About TIOGA MEDICAL CENTER CLINIC
This page provides the complete NPI Profile along with additional information for Tioga Medical Center Clinic, a provider established in Tioga, North Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245296078 assigned on April 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 9333 (ND). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Tioga Medical Center Clinic. The authorized official of this NPI record is Randall K. Pederson (President/ceo)
- NPI
- 1245296078
- Provider Legal Name
- TIOGA MEDICAL CENTER
- Other Organization Name
- TIOGA MEDICAL CENTER CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 810 N WELO ST TIOGA, ND 58852
- Location Phone
- (701) 664-3368
- Location Fax
- (701) 664-3300
- Mailing Address
- PO BOX 159 TIOGA, ND 58852
- Mailing Phone
- (701) 664-3368
- Mailing Fax
- (701) 664-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 08-30-2016
- 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 No.
- 9333
- License State
- ND
- 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:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
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.
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 |
---|---|---|---|
10158 | MEDICAID (05) | ND | |
00327001 | OTHER (01) | ND | BCBSND |
CO4114 | MEDICARE ID-TYPE UNSPECIFIED (04) | ND | RAILROAD MEDICARE |
=========001 | OTHER (01) | ND | ND WSI |
N1000327 | MEDICARE ID-TYPE UNSPECIFIED (04) | ND | ND MEDICARE B |
Reviews for TIOGA MEDICAL CENTER CLINIC
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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 | 4 | 5 | 2 | 9 | 6 | 0 | 7 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 9 | 12 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1245296078 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 17 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1861463747 | TIOGA MEDICAL CENTER Organization | Medicare Defined Swing Bed Unit | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1235387739 | ANDREA KEEVER MOTR/L Individual | Occupational Therapist | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1649244617 | TIOGA MEDICAL CENTER Organization | Skilled Nursing Facility | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1043280696 | TIOGA MEDICAL CENTER Organization | General Acute Care Hospital (Critical Access) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1124092333 | TIOGA MEDICAL CENTER Organization | Clinic/Center (Rural Health) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3368 |
1881947695 | LORENA KAY STOUT NP Individual | Nurse Practitioner (Family) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1417503442 | JESSE MITCHELL Individual | Nurse Practitioner (Family) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1285728378 | TIOGA MEDICAL CENTER HOSPITAL Organization | Clinic/Center | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1346468154 | TIOGA MEDICAL CENTER PHARMACY Organization | Pharmacy (Institutional Pharmacy) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1073104956 | JEFFREY LARSON PT-ATC Individual | Physical Therapist | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1285834614 | DR. VIJAY NEELAMEGAM PREMNATH M.D Individual | Family Medicine (Geriatric Medicine) | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1518605872 | GRACIA GILBERTSON PTA Individual | Physical Therapy Assistant | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1952049215 | MELISSA JO HALLGREN PTA Individual | Physical Therapy Assistant | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1801317417 | SHELBY LAINE KNOX PA Individual | Physician Assistant | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1215483755 | DR. MEGAN LYNN WARD DNP, PMHNP, FNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 810 N WELO ST TIOGA, ND 58852 (701) 572-3335 |
1235490269 | MR. JEFFREY ALDEN MOBERG JR. PA-C Individual | Physician Assistant | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
1437048410 | JENNIFER NICOLE REYNOLDS Individual | Nurse Practitioner | 810 N WELO ST TIOGA, ND 58852 (701) 664-3305 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245296078, enumerated in the NPI registry as an "organization" on April 21, 2006
The provider is located at 810 N Welo St Tioga, Nd 58852 and the phone number is (701) 664-3368
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. 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 21, 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.