HEALTHSTAT HEALTH CENTER SERIGRAPH PLANT 1
NPI 1740876366
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in West Bend, WI

NPI Status: Active since December 17, 2020

Contact Information

3701 DECORAH RD
WEST BEND, WI
ZIP 53095
Phone: (704) 936-5546

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...

About HEALTHSTAT HEALTH CENTER SERIGRAPH PLANT 1

This page provides the complete NPI Profile along with additional information for Healthstat Health Center Serigraph Plant 1, a provider established in West Bend, Wisconsin operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1740876366 assigned on December 2020. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 5 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 Jill Johnson Patton (Director Of Risk Management)

NPI
1740876366
Provider Name
HEALTHSTAT HEALTH CENTER SERIGRAPH PLANT 1
Entity Type
Organization
Location Address
3701 DECORAH RD WEST BEND, WI 53095
Location Phone
(704) 936-5546
Mailing Address
4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217
Mailing Phone
(704) 936-5546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2020
Last Update Date
12-17-2020
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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.

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

JILL JOHNSON PATTON

Authorized Official Title
DIRECTOR OF RISK MANAGEMENT
Authorized Official Phone
(704) 936-5546

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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.
1740876366
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278016712312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 6 + 7 + 1 + 2 + 3 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1740876366 is valid because the calculated check digit 6 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 1740876366, enumerated in the NPI registry as an "organization" on December 17, 2020

The provider is located at 3701 Decorah Rd West Bend, Wi 53095 and the phone number is (704) 936-5546

This medical organization specializes in Preventive Medicine with taxonomy code 2083P0500X with a focus in Preventive Medicine/Occupational Environmental Medicine

This NPI record was last updated on December 17, 2020. 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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