WVP INDEPENDENCE MONMOUTH
NPI 1538535059
Clinic/Center in Independence, OR

NPI Status: Active since August 19, 2015

Contact Information

1430 MONMOUTH ST
INDEPENDENCE, OR
ZIP 97351
Phone: (503) 838-1133
Fax: (503) 838-5138

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  • Organization
  • Clinic/Center

About WVP INDEPENDENCE MONMOUTH

This page provides the complete NPI Profile along with additional information for Wvp Independence Monmouth, a provider established in Independence, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1538535059 assigned on August 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Wvp Independence Monmouth. The authorized official of this NPI record is Mr. Dean Andretta (Cfo)

NPI
1538535059
Provider Legal Name
WVP MEDICAL GROUP, LLC
Other Organization Name
WVP INDEPENDENCE MONMOUTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1430 MONMOUTH ST INDEPENDENCE, OR 97351
Location Phone
(503) 838-1133
Location Fax
(503) 838-5138
Mailing Address
2995 RYAN DR SE STE 200 SALEM, OR 97301
Mailing Phone
(503) 371-7701
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-19-2015
Last Update Date
04-17-2018
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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
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:

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. DEAN ANDRETTA

Authorized Official Title
CFO
Authorized Official Phone
(503) 371-7701

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
288533MEDICAID (05)OR 

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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.
1538535059
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256810310010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 3 + 1 + 0 + 0 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1538535059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598868515INDEPENDENCE-MONMOUTH FAMILY MEDICINE PC
Organization
Family Medicine1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 838-1133
1659490092 JANICE HOIDA PA-C
Individual
Physician Assistant (Medical)1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 838-1133
1265727515DR. MARY SUSANNE PLACEK M.D.
Individual
Family Medicine1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 838-1133
1083092514 SHELLY WIMMER PA-C
Individual
Physician Assistant (Medical)1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 838-1133
1407959422 KEITH ALLEN WHITE MD
Individual
Family Medicine1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 838-1133
1952090169MR. TYLER CHARLES LONSFORD FNP
Individual
Nurse Practitioner (Family)1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 917-2255
1083329221 TATIANA ARIEL GIL FNP
Individual
Nurse Practitioner (Family)1430 MONMOUTH ST
INDEPENDENCE, OR 97351
(503) 917-2255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538535059, enumerated in the NPI registry as an "organization" on August 19, 2015

The provider is located at 1430 Monmouth St Independence, Or 97351 and the phone number is (503) 838-1133

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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 August 19, 2015. 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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