JACK V, LUNDBOHM INC
NPI 1780822486
Clinic/Center in Roseau, MN

NPI Status: Active since February 03, 2009

Contact Information

317 2ND ST NW
SUITE A
ROSEAU, MN
ZIP 56751
Phone: (218) 463-2992
Fax: (218) 463-1229

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About JACK V, LUNDBOHM INC

This page provides the complete NPI Profile along with additional information for Jack V, Lundbohm Inc, a provider established in Roseau, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1780822486 assigned on February 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 1792 (MN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Jack V Lundbohm D.c. (President)

NPI
1780822486
Provider Name
JACK V, LUNDBOHM INC
Entity Type
Organization
Location Address
317 2ND ST NW SUITE A ROSEAU, MN 56751
Location Phone
(218) 463-2992
Location Fax
(218) 463-1229
Mailing Address
317 2ND ST NW SUITE A ROSEAU, MN 56751
Mailing Phone
(218) 463-2992
Mailing Fax
(218) 463-1229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2009
Last Update Date
02-03-2009
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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
License No.
1792
License State
MN
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:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*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

DR. JACK V LUNDBOHM D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(218) 463-2992

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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.
1780822486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601624416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 2 + 4 + 4 + 1 + 6 + 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 1780822486 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 1780822486, enumerated in the NPI registry as an "organization" on February 03, 2009

The provider is located at 317 2nd St Nw Suite A Roseau, Mn 56751 and the phone number is (218) 463-2992

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

The provider might be accepting Accepts: Sanford Health Plan. 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 February 03, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.