IMH MULTI-SPECIALTY PHYSICIANS
NPI 1790889194
Clinic/Center in Watseka, IL
NPI Status: Active since September 07, 2006
Contact Information
200 LAIRD LN
WATSEKA, IL
ZIP 60970
Phone: (815) 432-5411
Fax: (815) 432-3955
- Organization
- Clinic/Center
- Accepts Insurance
About IMH MULTI-SPECIALTY PHYSICIANS
This page provides the complete NPI Profile along with additional information for Imh Multi-specialty Physicians, a provider established in Watseka, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1790889194 assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Imh Multi-specialty Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Imh Multi-specialty Physicians. The authorized official of this NPI record is Chuck Bohlmann (President/ceo)
- NPI
- 1790889194
- Provider Legal Name
- IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
- Other Organization Name
- IMH MULTI-SPECIALTY PHYSICIANS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 LAIRD LN WATSEKA, IL 60970
- Location Phone
- (815) 432-5411
- Location Fax
- (815) 432-3955
- Mailing Address
- 200 LAIRD LN WATSEKA, IL 60970
- Mailing Phone
- (815) 432-5411
- Mailing Fax
- (815) 432-3955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-07-2006
- Last Update Date
- 09-19-2014
- 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
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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
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 |
|---|---|---|---|
| 214521 | MEDICARE PIN (08) | IL |
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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 | 7 | 9 | 0 | 8 | 8 | 9 | 1 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 8 | 18 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 1 + 8 + 1 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1790889194 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1376876250 | OPTECH ORTHOTICS & PROSTHETICS, INC. Organization | Prosthetic/Orthotic Supplier | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-7783 |
| 1134445851 | IROQUOIS MEMORIAL HOSPITAL Organization | General Practice | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-5841 |
| 1851641138 | MRS. KRISTY M HUSE MOTR/L Individual | Occupational Therapist (Physical Rehabilitation) | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-2051 |
| 1114076080 | DR. ANGELITA FONTANILLA M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-5411 |
| 1497097679 | CRISTIANE WHITE MHS CCC-SLP Individual | Speech-Language Pathologist | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-2051 |
| 1447610472 | IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME Organization | Clinic/Center (Rural Health) | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-5411 |
| 1851721948 | JANELLA SCHROEDER FNP-C Individual | Nurse Practitioner (Family) | 200 LAIRD LN WATSEKA, IL 60970 (815) 432-5411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790889194, enumerated in the NPI registry as an "organization" on September 07, 2006
The provider is located at 200 Laird Ln Watseka, Il 60970 and the phone number is (815) 432-5411
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Aetna CVS Health, 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 September 07, 2006. 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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