FAMILY AND OCCUPATIONAL MEDICINE OF RIDGEVILLE
NPI 1497748974
Clinic/Center - Rural Health in Ridgeville, IN

NPI Status: Active since August 30, 2005

Contact Information

105 E 2ND ST
RIDGEVILLE, IN
ZIP 47380
Phone: (765) 857-2523
Fax: (765) 584-0551

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  • Organization
  • Clinic/Center
  • Rural Health

About FAMILY AND OCCUPATIONAL MEDICINE OF RIDGEVILLE

This page provides the complete NPI Profile along with additional information for Family And Occupational Medicine Of Ridgeville, a primary care provider established in Ridgeville, Indiana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1497748974 assigned on August 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Family And Occupational Medicine Of Ridgeville. The authorized official of this NPI record is Mr. Wayne G Deschambeau (Administrator)

NPI
1497748974
Provider Legal Name
ST VINCENT RANDOLPH HOSPITAL
Other Organization Name
FAMILY AND OCCUPATIONAL MEDICINE OF RIDGEVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
105 E 2ND ST RIDGEVILLE, IN 47380
Location Phone
(765) 857-2523
Location Fax
(765) 584-0551
Mailing Address
PO BOX 428 WINCHESTER, IN 47394
Mailing Phone
(765) 857-2523
Mailing Fax
(765) 584-0551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2005
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Family And Occupational Medicine Of Ridgeville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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.

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. WAYNE G DESCHAMBEAU

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(765) 584-0141

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
2281123MEDICAID (05)IN 
000000105462OTHER (01)INBC/BS GROUP #

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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.
1497748974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714416914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 4 + 1 + 6 + 9 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1497748974 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538299342REID PHYSICIAN ASSOCIATES, INC.
Organization
Family Medicine105 E 2ND ST
RIDGEVILLE, IN 47380
(765) 857-2523
1063587400ST. VINCENT PHYSICIAN NETWORK, LLC
Organization
Clinic/Center (Primary Care)105 E 2ND ST
RIDGEVILLE, IN 47380
(765) 857-2523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497748974, enumerated in the NPI registry as an "organization" on August 30, 2005

The provider is located at 105 E 2nd St Ridgeville, In 47380 and the phone number is (765) 857-2523

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 August 30, 2005. 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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