BAD RIVER HEALTH CLINIC
NPI 1013093285
Clinic/Center in Odanah, WI
NPI Status: Active since October 31, 2006
Contact Information
1 MAPLE STREET
ODANAH, WI
ZIP 54861
Phone: (715) 682-7133
- Organization
- Clinic/Center
- CLIA Number: 52D0695521
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-12-2026
About BAD RIVER HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Bad River Health Clinic, a provider established in Odanah, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013093285 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mary Bigboy (Clinic Manager)
- NPI
- 1013093285
- Provider Name
- BAD RIVER HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 1 MAPLE STREET ODANAH, WI 54861
- Location Phone
- (715) 682-7133
- Mailing Address
- N87W16462 JACOBSON DR MENOMONEE FALLS, WI 53051
- Mailing Phone
- (262) 255-1040
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2006
- Last Update Date
- 08-22-2020
- 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).
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
- 52D0695521
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 13, 2024
- Certificate Expiration Date
- June 12, 2026
- Laboratory Director
- MRS. SUSAN L. HACKWORTHY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bad River Health Clinic 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013093285, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013093285, enumerated as an "organization" on October 31, 2006.
The provider is located at 1 MAPLE STREET ODANAH, WI 54861 and the phone number is (715) 682-7133.
Clinic/Center with taxonomy code 261Q00000X.
