METHODIST PHYSICIANS CLINIC
NPI 1497842223
Durable Medical Equipment & Medical Supplies in Council Bluffs, IA
NPI Status: Active since October 05, 2006
Contact Information
1001 RISEN SON BOULEVARD
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-4360
Fax: (712) 396-7069
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 16D2181816
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-23-2027
About METHODIST PHYSICIANS CLINIC
This page provides the complete NPI Profile along with additional information for Methodist Physicians Clinic, a provider established in Council Bluffs, Iowa operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1497842223 assigned on October 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Methodist Physicians Clinic. The authorized official of this NPI record is Mr. Todd D. Grages (President)
- NPI
- 1497842223
- Provider Legal Name
- PHYSICIANS CLINIC, INC.
- Other Organization Name
- METHODIST PHYSICIANS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1001 RISEN SON BOULEVARD COUNCIL BLUFFS, IA 51503
- Location Phone
- (712) 396-4360
- Location Fax
- (712) 396-7069
- Mailing Address
- 8601 WEST DODGE ROAD SUITE # 216 OMAHA, NE 68114
- Mailing Phone
- (402) 354-4822
- Mailing Fax
- (712) 396-7069
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 08-22-2020
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D2181816
- Facility Type
- Physician Office
- Certificate Effective Date
- March 24, 2025
- Certificate Expiration Date
- March 23, 2027
- Laboratory Director
- DANA L. MCGUIRE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Methodist Physicians Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 4 | 9 | 7 | 8 | 4 | 2 | 2 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 16 | 4 | 4 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 6 + 4 + 4 + 2 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1497842223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497842223, enumerated in the NPI registry as an "organization" on October 05, 2006
The provider is located at 1001 Risen Son Boulevard Council Bluffs, Ia 51503 and the phone number is (712) 396-4360
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 16D2181816 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 05, 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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