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

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  • 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
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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

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.

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

RANDALL K. PEDERSON

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(701) 664-3305

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
10158MEDICAID (05)ND 
00327001OTHER (01)NDBCBSND
CO4114MEDICARE ID-TYPE UNSPECIFIED (04)NDRAILROAD MEDICARE
=========001OTHER (01)NDND WSI
N1000327MEDICARE ID-TYPE UNSPECIFIED (04)NDND 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.
1245296078
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854912014
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 = 88

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
1861463747TIOGA MEDICAL CENTER
Organization
Medicare Defined Swing Bed Unit810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1235387739 ANDREA KEEVER MOTR/L
Individual
Occupational Therapist810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1649244617TIOGA MEDICAL CENTER
Organization
Skilled Nursing Facility810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1043280696TIOGA MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1124092333TIOGA 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
1285728378TIOGA MEDICAL CENTER HOSPITAL
Organization
Clinic/Center810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1346468154TIOGA MEDICAL CENTER PHARMACY
Organization
Pharmacy (Institutional Pharmacy)810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1073104956 JEFFREY LARSON PT-ATC
Individual
Physical Therapist810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1285834614DR. 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 Assistant810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1952049215 MELISSA JO HALLGREN PTA
Individual
Physical Therapy Assistant810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1801317417 SHELBY LAINE KNOX PA
Individual
Physician Assistant810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1215483755DR. MEGAN LYNN WARD DNP, PMHNP, FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)810 N WELO ST
TIOGA, ND 58852
(701) 572-3335
1235490269MR. JEFFREY ALDEN MOBERG JR. PA-C
Individual
Physician Assistant810 N WELO ST
TIOGA, ND 58852
(701) 664-3305
1437048410 JENNIFER NICOLE REYNOLDS
Individual
Nurse Practitioner810 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.