FOND DU LAC REGIONAL CLINC
NPI 1154947737
Preventive Medicine - Occupational Medicine in Fond Du Lac, WI

NPI Status: Active since June 19, 2020

Contact Information

250 CAMELOT DR
FOND DU LAC, WI
ZIP 54935
Phone: (920) 923-7400

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  • Organization
  • Preventive Medicine
  • Occupational Medicine

About FOND DU LAC REGIONAL CLINC

This page provides the complete NPI Profile along with additional information for Fond Du Lac Regional Clinc, a provider established in Fond Du Lac, Wisconsin operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1154947737 assigned on June 2020. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Fond Du Lac Regional Clinc. The authorized official of this NPI record is Amy Grinnell (Vp-finance, Cfo)

NPI
1154947737
Provider Legal Name
AGNESIAN HEALTHCARE INC
Other Organization Name
FOND DU LAC REGIONAL CLINC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
250 CAMELOT DR FOND DU LAC, WI 54935
Location Phone
(920) 923-7400
Mailing Address
250 CAMELOT DR FOND DU LAC, WI 54935
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2020
Last Update Date
06-05-2024
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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

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

AMY GRINNELL

Authorized Official Title
VP-FINANCE, CFO
Authorized Official Phone
(608) 260-3586

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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 1154947737, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 8 + 4 + 1 + 4 + 7 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1154947737.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154947737, enumerated as an "organization" on June 19, 2020.

The provider is located at 250 CAMELOT DR FOND DU LAC, WI 54935 and the phone number is (920) 923-7400.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.