PARK FALLS DENTAL CENTER
NPI 1063104297
Clinic/Center - Federally Qualified Health Center (FQHC) in Park Falls, WI

NPI Status: Active since May 25, 2023

Contact Information

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552
Phone: (715) 762-0200

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About PARK FALLS DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Park Falls Dental Center, a primary care provider established in Park Falls, Wisconsin operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1063104297 assigned on May 2023. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Park Falls Dental Center. The authorized official of this NPI record is Kymberli Darracott (Credentialing Specialist)

NPI
1063104297
Provider Legal Name
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Other Organization Name
PARK FALLS DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
75 SHERRY AVE PARK FALLS, WI 54552
Location Phone
(715) 762-0200
Mailing Address
1307 N SAINT JOSEPH AVE MARSHFIELD, WI 54449
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2023
Last Update Date
07-13-2023
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A primary care provider (PCP) like Park Falls Dental Center 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

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

KYMBERLI DARRACOTT

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(262) 654-5555

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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.
1063104297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123208218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 0 + 8 + 2 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1063104297 is valid because the calculated check digit 7 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.

TYLER H. BERKEY DMD

Dentist

(General Practice)

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

ERIC M PETERS DMD

Dentist

(General Practice)

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

TENNILLE H. PENN D.D.S.

Dentist

(General Practice)

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

DR. HEATHER NICOLE NANCY SCHAKE MOELLERS DDS

Dentist

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

DR. DELARAM SADAT AGHILI MEHRIZI DMD

Dentist

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

DR. GINA GEORGEANN HANSEN DMD

Dentist

(General Practice)

75 SHERRY AVE
PARK FALLS, WI
ZIP 54552

(715) 762-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063104297, enumerated as an "organization" on May 25, 2023.

The provider is located at 75 SHERRY AVE PARK FALLS, WI 54552 and the phone number is (715) 762-0200.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).