FEDERAL MEDICAL CENTER - ROCHESTER
NPI 1780899518
General Practice in Rochester, MN

NPI Status: Active since May 14, 2007

Contact Information

2110 E CENTER ST
ROCHESTER, MN
ZIP 55904
Phone: (507) 287-0674
Fax: (507) 287-9635

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  • Organization
  • General Practice
  • CLIA Number: 24D0668441
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 02-08-2027

About FEDERAL MEDICAL CENTER - ROCHESTER

This page provides the complete NPI Profile along with additional information for Federal Medical Center - Rochester, a primary care provider established in Rochester, Minnesota operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1780899518 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 9 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 provider's is doing business as Federal Medical Center - Rochester. The authorized official of this NPI record is Sheila Hadaway Md (Clinical Director)

NPI
1780899518
Provider Legal Name
US DEPARTMENT OF JUSTICE
Other Organization Name
FEDERAL MEDICAL CENTER - ROCHESTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2110 E CENTER ST ROCHESTER, MN 55904
Location Phone
(507) 287-0674
Location Fax
(507) 287-9635
Mailing Address
2110 E CENTER ST ROCHESTER, MN 55904
Mailing Phone
(507) 287-0674
Mailing Fax
(507) 287-9635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2007
Last Update Date
08-16-2016
Code Navigator

A primary care provider (PCP) like Federal Medical Center - Rochester sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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

SHEILA HADAWAY MD

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(507) 287-0674

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
24D0668441
Facility Type
Prison
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. SHEILA HADAWAY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Federal Medical Center - Rochester on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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.
1780899518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601691852
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 + 9 + 1 + 8 + 5 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1780899518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699765982 DAVID LYNDON EDWARDY D.O.
Individual
Family Medicine2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1497700298DR. SEAN T O'GRADY MD
Individual
Emergency Medicine2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1942384631MR. FELIPE GUZMAN-ZAMARRON OT
Individual
Occupational Therapist2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1558483719MS. LIATTE KRUEGER PHARMD
Individual
Pharmacist2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1447757091 NANCY ELIZABETH JORDAN DO
Individual
General Practice2110 E CENTER ST
ROCHESTER, MN 55904
(507) 424-7466
1205886538MR. NORMAN S. BOOTH PA-C
Individual
Physician Assistant (Medical)2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1053808840 LESLEY ANN HATFIELD PA-C
Individual
Physician Assistant (Medical)2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1477040012 KEVIN DEAN ELKER APRN, CNS
Individual
Clinical Nurse Specialist (Adult Health)2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674
1710490776 JASON STONE NP
Individual
Nurse Practitioner (Family)2110 E CENTER ST
ROCHESTER, MN 55904
(507) 287-0674

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780899518, enumerated in the NPI registry as an "organization" on May 14, 2007

The provider is located at 2110 E Center St Rochester, Mn 55904 and the phone number is (507) 287-0674

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider's CLIA number is 24D0668441 for a "prison" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 14, 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].
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.