FAIRLIGHT MEDICAL CENTER
NPI 1104079409
Clinic/Center - Urgent Care in Williston, ND

NPI Status: Active since October 30, 2008

Contact Information

3 4TH ST E
SUITE 101
WILLISTON, ND
ZIP 58801
Phone: (701) 577-6337
Fax: (701) 577-4867

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  • Organization
  • Clinic/Center
  • Urgent Care

About FAIRLIGHT MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Fairlight Medical Center, a provider established in Williston, North Dakota operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1104079409 assigned on October 2008. The practitioner's primary taxonomy code is 261QU0200X with license number 6414 (ND). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Williston Radiology Consultants. The authorized official of this NPI record is Ms. Nancy Marie Reiger (Billing/insurance Clerk)

NPI
1104079409
Provider Legal Name
FAIRLIGHT MEDICAL CENTER
Other Organization Name
WILLISTON RADIOLOGY CONSULTANTS
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3 4TH ST E SUITE 101 WILLISTON, ND 58801
Location Phone
(701) 577-6337
Location Fax
(701) 577-4867
Mailing Address
3 4TH ST E SUITE 101 WILLISTON, ND 58801
Mailing Phone
(701) 577-6337
Mailing Fax
(701) 577-4867
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-30-2008
Last Update Date
10-30-2008
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
6414
License State
ND

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.

*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

MS. NANCY MARIE REIGER

Authorized Official Title
BILLING/INSURANCE CLERK
Authorized Official Phone
(701) 577-6337

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
109956169OTHER (01)DUNS
621-11OTHER (01)NAICS
2699617243OTHER (01)TPIN
0406731MEDICAID (05)MT 
N6228MEDICARE PIN (08)ND 
010182MEDICAID (05)ND 

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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 1104079409, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 7 + 1 + 8 + 4 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104079409.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3 4TH ST E
WILLISTON, ND 58801
Radiology (Diagnostic Radiology)
3 4TH ST E, SUITE 201
WILLISTON, ND 58801
Podiatrist (Foot & Ankle Surgery)
3 4TH ST E, SUITE 102
WILLISTON, ND 58801
Physician Assistant
3 4TH ST E
WILLISTON, ND 58801
Specialist
3 4TH ST E, SUITE 201
WILLISTON, ND 58801
Clinic/Center (Urgent Care)
3 4TH ST E
WILLISTON, ND 58801
Clinic/Center (Urgent Care)
3 4TH ST E, SUITE 201
WILLISTON, ND 58801
Podiatrist (Foot & Ankle Surgery)
3 4TH ST E, SUITE 102
WILLISTON, ND 58801
Physical Therapist
3 4TH ST E, STE 103
WILLISTON, ND 58801
Family Medicine
3 4TH ST E
WILLISTON, ND 58801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104079409, enumerated as an "organization" on October 30, 2008.

The provider is located at 3 4TH ST E SUITE 101 WILLISTON, ND 58801 and the phone number is (701) 577-6337.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

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