SHEBOYGAN MEDICAL CENTER, LLC
NPI 1831570472
Durable Medical Equipment & Medical Supplies in Sheboygan, WI
NPI Status: Active since June 09, 2015
Contact Information
2124 KOHLER MEMORIAL DR
SUITE 100
SHEBOYGAN, WI
ZIP 53081
Phone: (414) 325-7246
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D0985330
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 04-15-2027
About SHEBOYGAN MEDICAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Sheboygan Medical Center, Llc, a provider established in Sheboygan, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1831570472 assigned on June 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Vishal Lal (Authorized Representative)
- NPI
- 1831570472
- Provider Name
- SHEBOYGAN MEDICAL CENTER, LLC
- Entity Type
- Organization
- Location Address
- 2124 KOHLER MEMORIAL DR SUITE 100 SHEBOYGAN, WI 53081
- Location Phone
- (414) 325-7246
- Mailing Address
- 4131 W LOOMIS RD SUITE 300 GREENFIELD, WI 53221
- Mailing Phone
- (414) 325-7246
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-09-2015
- Last Update Date
- 06-09-2015
- 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.
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
- 52D0985330
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- April 16, 2025
- Certificate Expiration Date
- April 15, 2027
- Laboratory Director
- MS. LORI HAMILTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sheboygan Medical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 8 | 3 | 1 | 5 | 7 | 0 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 10 | 7 | 0 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 1 + 0 + 7 + 0 + 4 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1831570472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639325814 | ADVANCED PAIN MANAGEMENT Organization | Specialist | 2124 KOHLER MEMORIAL DR SHEBOYGAN, WI 53081 (414) 325-3713 |
| 1790179968 | ADVANCED PAIN MANAGEMENT SC Organization | Durable Medical Equipment & Medical Supplies | 2124 KOHLER MEMORIAL DR SHEBOYGAN, WI 53081 (414) 325-7246 |
| 1366487241 | SHEBOYGAN MEDICAL CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 2124 KOHLER MEMORIAL DR STE 100 SHEBOYGAN, WI 53081 (920) 452-7246 |
| 1891395661 | SPINE SOLUTIONS OF SHEBOYGAN LLC Organization | Clinic/Center (Ambulatory Surgical) | 2124 KOHLER MEMORIAL DR SHEBOYGAN, WI 53081 (414) 455-1153 |
| 1649422619 | KRISTIN MARIE BALTHAZOR PA-C, MPAS Individual | Physician Assistant | 2124 KOHLER MEMORIAL DR SHEBOYGAN, WI 53081 (833) 821-7246 |
| 1548640774 | BRANT MICHAEL BALTHAZOR MS, PA-C Individual | Physician Assistant | 2124 KOHLER MEMORIAL DR SHEBOYGAN, WI 53081 (883) 821-7246 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831570472, enumerated in the NPI registry as an "organization" on June 09, 2015
The provider is located at 2124 Kohler Memorial Dr Suite 100 Sheboygan, Wi 53081 and the phone number is (414) 325-7246
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 52D0985330 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 09, 2015. 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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