GREAT RIVER MEDICAL CENTER
NPI 1386623262
Nursing Facility/Intermediate Care Facility in West Burlington, IA
NPI Status: Active since January 10, 2006
Contact Information
1307 S GEAR AVE
WEST BURLINGTON, IA
ZIP 52655
Phone: (319) 768-4600
- Organization
- Nursing Facility/Intermediate Care Facil...
About GREAT RIVER MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Great River Medical Center, a provider established in West Burlington, Iowa operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1386623262 assigned on January 2006. The practitioner's primary taxonomy code is 313M00000X with license number 2900147H (IA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Matthew Wenzel (Ceo/president)
- NPI
- 1386623262
- Provider Name
- GREAT RIVER MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1307 S GEAR AVE WEST BURLINGTON, IA 52655
- Location Phone
- (319) 768-4600
- Mailing Address
- 1221 S GEAR AVE WEST BURLINGTON, IA 52655
- Mailing Phone
- (319) 768-3628
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2006
- Last Update Date
- 10-01-2018
- Code Navigator
Location Map
Secondary Locations
- 1221 S Gear Ave
West Burlington, IA 52655
(319) 768-3628
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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 2900147H
- License State
- IA
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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.
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 |
|---|---|---|---|
| 0800409 | MEDICAID (05) | IA |
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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 | 3 | 8 | 6 | 6 | 2 | 3 | 2 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 2 | 6 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 2 + 6 + 2 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1386623262 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1457905705 | STEPHANIE MONIQUE HANSEN FNP Individual | Nurse Practitioner | 1307 S GEAR AVE WEST BURLINGTON, IA 52655 (319) 768-4600 |
| 1609285279 | DEAN JEFFREY VANTIGER CFNP Individual | Nurse Practitioner (Family) | 1307 S GEAR AVE WEST BURLINGTON, IA 52655 (319) 768-4600 |
| 1265411144 | SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC. Organization | Skilled Nursing Facility | 1307 S GEAR AVE WEST BURLINGTON, IA 52655 (319) 768-4600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386623262, enumerated in the NPI registry as an "organization" on January 10, 2006
The provider is located at 1307 S Gear Ave West Burlington, Ia 52655 and the phone number is (319) 768-4600
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
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 January 10, 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].
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