TRI-COUNTY MEMORIAL HOSPITAL, INC.
NPI 1073335642
Clinic/Center in Independence, WI
NPI Status: Active since October 25, 2024
Contact Information
35791 OSSEO RD
INDEPENDENCE, WI
ZIP 54747
Phone: (715) 985-2351
Fax: (715) 985-3880
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 52D0396909
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-15-2027
About TRI-COUNTY MEMORIAL HOSPITAL, INC.
This page provides the complete NPI Profile along with additional information for Tri-county Memorial Hospital, Inc., a provider established in Independence, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1073335642 assigned on October 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Daniel Coenen (Administrator)
- NPI
- 1073335642
- Provider Name
- TRI-COUNTY MEMORIAL HOSPITAL, INC.
- Entity Type
- Organization
- Location Address
- 35791 OSSEO RD INDEPENDENCE, WI 54747
- Location Phone
- (715) 985-2351
- Location Fax
- (715) 985-3880
- Mailing Address
- 18601 LINCOLN ST WHITEHALL, WI 54773
- Mailing Phone
- (715) 538-4361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-25-2024
- Last Update Date
- 10-25-2024
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS Bronze 8500 - POS
- POS Silver 6000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 52D0396909
- Facility Type
- Hospital
- Certificate Effective Date
- February 16, 2025
- Certificate Expiration Date
- February 15, 2027
- Laboratory Director
- DR. DANIEL F. SCHRAITH
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Tri-county Memorial Hospital, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1073335642, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073335642, enumerated as an "organization" on October 25, 2024.
The provider is located at 35791 OSSEO RD INDEPENDENCE, WI 54747 and the phone number is (715) 985-2351.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Aspirus Health Plan. Please consult your insurance carrier or call the provider to verify.
