LILYCARE CLINIC
NPI 1023282969
Clinic/Center - Primary Care in West Fargo, ND

NPI Status: Active since April 22, 2008

Contact Information

550 13TH AVE E
WEST FARGO, ND
ZIP 58078
Phone: (701) 356-5459
Fax: (701) 356-3764

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  • Organization
  • Clinic/Center
  • Primary Care

About LILYCARE CLINIC

This page provides the complete NPI Profile along with additional information for Lilycare Clinic, a primary care provider established in West Fargo, North Dakota operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1023282969 assigned on April 2008. The practitioner's primary taxonomy code is 261QP2300X with license number 9395 (ND). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Lilycare Clinic. The authorized official of this NPI record is Dr. Tracie M Mallberg M.d. (President)

NPI
1023282969
Provider Legal Name
TRACIE M MALLBERG MD PC
Other Organization Name
LILYCARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
550 13TH AVE E WEST FARGO, ND 58078
Location Phone
(701) 356-5459
Location Fax
(701) 356-3764
Mailing Address
550 13TH AVE E WEST FARGO, ND 58078
Mailing Phone
(701) 356-5459
Mailing Fax
(701) 356-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2008
Last Update Date
08-01-2008
Code Navigator

A primary care provider (PCP) like Lilycare Clinic 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
9395
License State
ND

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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. TRACIE M MALLBERG M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(701) 356-5459

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
14788MEDICAID (05)ND 

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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 1023282969, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 2 → 4 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 4 + 8 + 4 + 9 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1023282969.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Specialist
550 13TH AVE E
WEST FARGO, ND 58078
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023282969, enumerated as an "organization" on April 22, 2008.

The provider is located at 550 13TH AVE E WEST FARGO, ND 58078 and the phone number is (701) 356-5459.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.