MINIDOKA MEMORIAL HOSPITAL CRNA GROUP
NPI 1073787784
Nurse Anesthetist, Certified Registered in Rupert, ID

NPI Status: Active since April 15, 2008

Contact Information

1224 8TH ST
RUPERT, ID
ZIP 83350
Phone: (208) 436-0481
Fax: (208) 434-8675

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  • Organization
  • Nurse Anesthetist, Certified Registered

About MINIDOKA MEMORIAL HOSPITAL CRNA GROUP

This page provides the complete NPI Profile along with additional information for Minidoka Memorial Hospital Crna Group, a provider established in Rupert, Idaho operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1073787784 assigned on April 2008. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Minidoka Memorial Hospital Crna Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carl Hansen (Administrator)

NPI
1073787784
Provider Name
MINIDOKA MEMORIAL HOSPITAL CRNA GROUP
Entity Type
Organization
Location Address
1224 8TH ST RUPERT, ID 83350
Location Phone
(208) 436-0481
Location Fax
(208) 434-8675
Mailing Address
1224 8TH ST RUPERT, ID 83350
Mailing Phone
(208) 436-0481
Mailing Fax
(208) 434-8675
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-15-2008
Last Update Date
10-03-2011
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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

CARL HANSEN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(208) 436-0481

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
00166OTHER (01)BLUE CROSS OF IDAHO
002336000OTHER (01)BLUE SHIELD
M8068633MEDICAID (05)ID 
1602964MEDICARE PIN (08) 

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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 1073787784, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 4 + 8 + 1 + 4 + 7 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1073787784.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1224 8TH ST
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, STE A
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Dietitian, Registered
1224 8TH ST
RUPERT, ID 83350
Ambulance (Land Transport)
1224 8TH ST
RUPERT, ID 83350
Skilled Nursing Facility
1224 8TH ST
RUPERT, ID 83350
Nurse Anesthetist, Certified Registered
1224 8TH ST
RUPERT, ID 83350
Speech-Language Pathologist
1224 8TH ST
RUPERT, ID 83350
Pharmacist
1224 8TH ST
RUPERT, ID 83350
Pharmacy
1224 8TH ST
RUPERT, ID 83350
Emergency Medicine
1224 8TH ST
RUPERT, ID 83350
Emergency Medicine
1224 8TH ST
RUPERT, ID 83350
Family Medicine
1224 8TH ST
RUPERT, ID 83350
Nurse Practitioner (Family)
1224 8TH ST
RUPERT, ID 83350
General Acute Care Hospital (Critical Access)
1224 8TH ST
RUPERT, ID 83350
Nurse Anesthetist, Certified Registered
1224 8TH ST
RUPERT, ID 83350
Emergency Medicine
1224 8TH ST
RUPERT, ID 83350
Clinic/Center (Emergency Care)
1224 8TH ST
RUPERT, ID 83350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073787784, enumerated as an "organization" on April 15, 2008.

The provider is located at 1224 8TH ST RUPERT, ID 83350 and the phone number is (208) 436-0481.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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