SPOONER HEALTH SYSTEM INC
NPI 1205840873
Nursing Facility/Intermediate Care Facility in Spooner, WI

NPI Status: Active since July 28, 2006

Contact Information

819 ASH ST
SPOONER, WI
ZIP 54801
Phone: (715) 635-2111
Fax: (715) 635-7498

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About SPOONER HEALTH SYSTEM INC

This page provides the complete NPI Profile along with additional information for Spooner Health System Inc, a provider established in Spooner, Wisconsin operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1205840873 assigned on July 2006. The practitioner's primary taxonomy code is 313M00000X with license number 1164 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Len Meysembourg (Nursing Home Administrator)

NPI
1205840873
Provider Name
SPOONER HEALTH SYSTEM INC
Entity Type
Organization
Location Address
819 ASH ST SPOONER, WI 54801
Location Phone
(715) 635-2111
Location Fax
(715) 635-7498
Mailing Address
819 ASH ST SPOONER, WI 54801
Mailing Phone
(715) 635-2111
Mailing Fax
(715) 635-7498
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2006
Last Update Date
10-20-2008
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
1164
License State
WI
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

LEN MEYSEMBOURG

Authorized Official Title
NURSING HOME ADMINISTRATOR
Authorized Official Phone
(715) 635-2111

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
20133500MEDICAID (05)WI 
525673MEDICARE OSCAR/CERTIFICATION (06)WI 

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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 1205840873, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 8 → 16 → 7 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 6 + 4 + 0 + 8 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205840873.

Other Providers at the Same Location


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

Family Medicine
819 ASH ST
SPOONER, WI 54801
Family Medicine
819 ASH ST
SPOONER, WI 54801
Family Medicine
819 ASH ST
SPOONER, WI 54801
Family Medicine
819 ASH ST
SPOONER, WI 54801
Pharmacist
819 ASH ST
SPOONER, WI 54801
Nurse Anesthetist, Certified Registered
819 ASH ST, SPOONER HEALTH SYSTEM
SPOONER, WI 54801
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
819 ASH ST
SPOONER, WI 54801
Physical Therapist
819 ASH ST
SPOONER, WI 54801
Physical Therapy Assistant
819 ASH ST
SPOONER, WI 54801
Respiratory Therapist, Certified
819 ASH ST
SPOONER, WI 54801
Nurse Anesthetist, Certified Registered
819 ASH ST, SPOONER HEALTH SYSTEM
SPOONER, WI 54801
Podiatrist
819 ASH ST
SPOONER, WI 54801
Family Medicine
819 ASH ST
SPOONER, WI 54801
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
819 ASH ST
SPOONER, WI 54801
Occupational Therapist
819 ASH ST
SPOONER, WI 54801
Occupational Therapist
819 ASH ST
SPOONER, WI 54801
Physical Therapy Assistant
819 ASH ST
SPOONER, WI 54801
Registered Nurse
819 ASH ST
SPOONER, WI 54801
Family Medicine
819 ASH ST
SPOONER, WI 54801
Emergency Medicine
819 ASH ST
SPOONER, WI 54801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205840873, enumerated as an "organization" on July 28, 2006.

The provider is located at 819 ASH ST SPOONER, WI 54801 and the phone number is (715) 635-2111.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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