FAMILY HEALTH CARE OF WATSEKA
NPI 1043720691
Clinic/Center - Rural Health in Watseka, IL

NPI Status: Active since October 10, 2017

Contact Information

806 E WALNUT ST STE A
WATSEKA, IL
ZIP 60970
Phone: (815) 432-1078
Fax: (815) 432-1079

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 14D2139070
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-29-2025

About FAMILY HEALTH CARE OF WATSEKA

This page provides the complete NPI Profile along with additional information for Family Health Care Of Watseka, a primary care provider established in Watseka, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1043720691 assigned on October 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Family Health Care Of Watseka. The authorized official of this NPI record is Matthew Ertel (Chief Financial Officer)

NPI
1043720691
Provider Legal Name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other Organization Name
FAMILY HEALTH CARE OF WATSEKA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
806 E WALNUT ST STE A WATSEKA, IL 60970
Location Phone
(815) 432-1078
Location Fax
(815) 432-1079
Mailing Address
806 E WALNUT ST STE A WATSEKA, IL 60970
Mailing Phone
(815) 432-1078
Mailing Fax
(815) 432-1079
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-10-2017
Last Update Date
09-10-2024
Code Navigator

A primary care provider (PCP) like Family Health Care Of Watseka 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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

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

MATTHEW ERTEL

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(217) 784-2601

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
14D2139070
Facility Type
Physician Office
Certificate Effective Date
October 30, 2023
Certificate Expiration Date
October 29, 2025
Laboratory Director
DOUGLAS LANOUE M D
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Family Health Care Of Watseka in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1043720691, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 4 → 8 7 → 14 → 5 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 4 + 2 + 0 + 6 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043720691.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Urology
806 E WALNUT ST STE A
WATSEKA, IL 60970
Social Worker (Clinical)
806 E WALNUT ST STE A
WATSEKA, IL 60970
Nurse Practitioner (Psychiatric/Mental Health)
806 E WALNUT ST STE A
WATSEKA, IL 60970

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043720691, enumerated as an "organization" on October 10, 2017.

The provider is located at 806 E WALNUT ST STE A WATSEKA, IL 60970 and the phone number is (815) 432-1078.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.