ASCENSION BORGESS LEE HOSPITAL
NPI 1538334164
Nurse Anesthetist, Certified Registered in Dowagiac, MI
NPI Status: Active since April 24, 2008
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 23D2222214
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-26-2027
About ASCENSION BORGESS LEE HOSPITAL
This page provides the complete NPI Profile along with additional information for Ascension Borgess Lee Hospital, a provider established in Dowagiac, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1538334164 assigned on April 2008. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Peter Bergmann (President & Ceo)
- NPI
- 1538334164
- Provider Name
- ASCENSION BORGESS LEE HOSPITAL
- Entity Type
- Organization
- Location Address
- 420 W HIGH ST DOWAGIAC, MI 49047
- Location Phone
- (269) 782-8681
- Mailing Address
- 420 W HIGH ST DOWAGIAC, MI 49047
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2008
- Last Update Date
- 04-10-2019
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| 430A410250 | OTHER (01) | BCBSM PIN |
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
- 23D2222214
- Facility Type
- Physician Office
- Certificate Effective Date
- April 27, 2025
- Certificate Expiration Date
- April 26, 2027
- Laboratory Director
- MICHAEL C. VALITUTTO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ascension Borgess Lee Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 3 | 8 | 3 | 3 | 4 | 1 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 6 | 3 | 8 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 6 + 3 + 8 + 1 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1538334164 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447230776 | ROBERT J JIRGL C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 420 W HIGH ST DOWAGIAC, MI 49047 (734) 241-3981 |
| 1427006832 | DR. DAVID WAYNE YOUNG M.D., M.S. Individual | Emergency Medicine | 420 W HIGH ST BORGESS-LEE MEMORIAL ED DOWAGIAC, MI 49047 (269) 783-3000 |
| 1720027766 | DOWAGIAC EMERGENCY PHYSICIANS Organization | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3000 |
| 1588603484 | MICHIGAN EM-I MEDICAL SERVICES, P.C. Organization | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3000 |
| 1932144045 | DR. TADD A HEFT D.O. Individual | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3082 |
| 1417981671 | DR. EREM E BOBRAKOV MD Individual | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3082 |
| 1649379785 | DR. SRINIVASAN DHATREECHARA N M.D. Individual | Internal Medicine (Cardiovascular Disease) | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3017 |
| 1912074089 | KALAMAZOO CARDIOLOGY Organization | Internal Medicine (Cardiovascular Disease) | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3017 |
| 1871653360 | STERLING EMERGENCY SERVICES OF MICHIGAN, INC. Organization | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 782-8681 |
| 1174688089 | LEE MEMORIAL HOSPITAL CORPORATION Organization | Clinic/Center (Rural Health) | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 782-9200 |
| 1528190303 | LAKE COUNTRY UROLOGY CLINIC, PLLC Organization | Urology | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 651-4708 |
| 1447502059 | BORGESS LEE MEMORIAL HOSPITAL Organization | Emergency Medicine | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 782-8681 |
| 1295715878 | CHARLENE HOWLAND CRNA Individual | Nurse Anesthetist, Certified Registered | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 782-8681 |
| 1467956482 | BERTHA NAOMI PRAHOVEANU DPT Individual | Physical Therapist | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3041 |
| 1043714058 | ERICA MICHELLE VANTUYL PT,DPT Individual | Physical Therapist | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3041 |
| 1437654324 | GREGORY N OTTO PT Individual | Physical Therapist | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3041 |
| 1457504243 | ASCENSION BORGESS LEE HOSPITAL Organization | Medicare Defined Swing Bed Unit | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 782-8681 |
| 1447516869 | D&A DISSOLVING, INC. Organization | Audiologist-Hearing Aid Fitter | 420 W HIGH ST DOWAGIAC, MI 49047 (574) 232-5815 |
| 1659759009 | DR. HILARY MANCIK DPT Individual | Physical Therapist | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-0341 |
| 1366119422 | ALYSSA NICOLE GRANT MOT, OTR/L Individual | Occupational Therapist | 420 W HIGH ST DOWAGIAC, MI 49047 (269) 783-3041 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538334164, enumerated in the NPI registry as an "organization" on April 24, 2008
The provider is located at 420 W High St Dowagiac, Mi 49047 and the phone number is (269) 782-8681
This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D2222214 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 24, 2008. 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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