FOND DU LAC REGIONAL CLINIC
NPI 1689891046
Durable Medical Equipment & Medical Supplies in Berlin, WI
NPI Status: Active since April 19, 2007
- Organization
- Durable Medical Equipment & Medical Supp...
About FOND DU LAC REGIONAL CLINIC
This page provides the complete NPI Profile along with additional information for Fond Du Lac Regional Clinic, a provider established in Berlin, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689891046 assigned on April 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Fond Du Lac Regional Clinic. The authorized official of this NPI record is Steven N Little (Svp & Cfo)
- NPI
- 1689891046
- Provider Legal Name
- AGNESIAN HEALTHCARE INC
- Other Organization Name
- FOND DU LAC REGIONAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 225 MEMORIAL DR BERLIN, WI 54923
- Location Phone
- (920) 926-4100
- Mailing Address
- 420 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-8340
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2007
- Last Update Date
- 11-26-2007
- 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.
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 |
|---|---|---|---|
| 0302620024 | MEDICARE NSC (07) | WI |
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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 | 6 | 8 | 9 | 8 | 9 | 1 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 16 | 9 | 2 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 6 + 9 + 2 + 0 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1689891046 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1962403832 | M JEAN BRUCE MD Individual | Family Medicine | 225 MEMORIAL DR SUITE 1200 BERLIN, WI 54923 (920) 361-5770 |
| 1508859653 | URI VAISMAN MD Individual | Family Medicine | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5554 |
| 1902899917 | KENNETH SULLIVAN MD Individual | Emergency Medicine | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5525 |
| 1033190988 | TONY D SINGH CRNA Individual | Nurse Anesthetist, Certified Registered | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5538 |
| 1316973480 | FREEMAN MARK MOORE MD Individual | Personal Emergency Response Attendant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-1313 |
| 1578682852 | MR. WILLIAM DONALD BERGTHOLD OTR Individual | Occupational Therapist | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1760686851 | MS. LINDA LOUISE SCHINK-BOERS PHYSICAL THERAPIST Individual | Physical Therapist | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5564 |
| 1225238934 | MRS. KATHLEEN LYNCH R.D. Individual | Dietitian, Registered | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5509 |
| 1790975423 | MRS. JILL MARGARET EGBERT PTA Individual | Physical Therapy Assistant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1043483860 | MRS. DIANE MARIE KLIKA PT Individual | Physical Therapist | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1467628057 | MRS. KRISTEN LEIGH JANES MERTENS M.S., CCC-SLP Individual | Speech-Language Pathologist | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1558537068 | MRS. SUSAN MARIE GOOD PT Individual | Physical Therapist | 225 MEMORIAL DR COMMUNITY HEALTH NET BERLIN, WI 54923 (920) 361-5534 |
| 1568639607 | SUE STUMPNER Individual | Physical Therapist | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-1313 |
| 1134385321 | MRS. LISA ANN TAYLOR PTA Individual | Physical Therapy Assistant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1386800555 | DAWN LYNN GROVES PTA Individual | Physical Therapy Assistant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1548412836 | CHN COMMUNITY HEALTH Organization | Rehabilitation Hospital | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
| 1265768402 | MICHELLE A JENSEN RD Individual | Dietitian, Registered | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-1313 |
| 1023347036 | EMILY ANNE RADEMACHER COTA Individual | Occupational Therapy Assistant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-1313 |
| 1518269612 | MELISSA A JOHNSTON LAT, CEAS, CFCE Individual | Specialist/Technologist (Athletic Trainer) | 225 MEMORIAL DR REHAB SERVICES BERLIN, WI 54923 (920) 361-5534 |
| 1396039145 | CARRIE CALBAUM PTA Individual | Physical Therapy Assistant | 225 MEMORIAL DR BERLIN, WI 54923 (920) 361-5534 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689891046, enumerated in the NPI registry as an "organization" on April 19, 2007
The provider is located at 225 Memorial Dr Berlin, Wi 54923 and the phone number is (920) 926-4100
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
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 April 19, 2007. 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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