PRAIRIE FAMILY MEDICINE AND OBSTETRICS
NPI 1063462976
Clinic/Center - Rural Health in Forrest, IL
NPI Status: Active since May 11, 2006
Contact Information
122 E WABASH AVE
FORREST, IL
ZIP 61741
Phone: (815) 657-8707
Fax: (815) 657-8717
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 14D0941464
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-24-2026
About PRAIRIE FAMILY MEDICINE AND OBSTETRICS
This page provides the complete NPI Profile along with additional information for Prairie Family Medicine And Obstetrics, a primary care provider established in Forrest, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1063462976 assigned on May 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Prairie Family Medicine And Obstetrics. The authorized official of this NPI record is Matthew Ertel (Chief Financial Officer)
- NPI
- 1063462976
- Provider Legal Name
- GIBSON COMMUNITY HOSPITAL ASSOCIATION
- Other Organization Name
- PRAIRIE FAMILY MEDICINE AND OBSTETRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 122 E WABASH AVE FORREST, IL 61741
- Location Phone
- (815) 657-8707
- Location Fax
- (815) 657-8717
- Mailing Address
- 122 E WABASH AVE FORREST, IL 61741
- Mailing Phone
- (815) 657-8707
- Mailing Fax
- (815) 657-8717
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-11-2006
- Last Update Date
- 02-04-2022
- Code Navigator
A primary care provider (PCP) like Prairie Family Medicine And Obstetrics 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) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 14D0941464
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2024
- Certificate Expiration Date
- February 24, 2026
- Laboratory Director
- BENJAMIN E. BREWER MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Prairie Family Medicine And Obstetrics 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 1063462976, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063462976, enumerated as an "organization" on May 11, 2006.
The provider is located at 122 E WABASH AVE FORREST, IL 61741 and the phone number is (815) 657-8707.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
