VERNON MEMORIAL HEALTHCARE, INC.
NPI 1215933767
Clinic/Center - Rural Health in Westby, WI

NPI Status: Active since June 21, 2005

Contact Information

100 MELBY ST
WESTBY, WI
ZIP 54667
Phone: (608) 634-3126
Fax: (608) 638-5040

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 52D0396502
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 03-21-2026

About VERNON MEMORIAL HEALTHCARE, INC.

This page provides the complete NPI Profile along with additional information for Vernon Memorial Healthcare, Inc., a primary care provider established in Westby, Wisconsin operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1215933767 assigned on June 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is David Hartberg (Ceo)

NPI
1215933767
Provider Legal Name
VERNON MEMORIAL HEALTHCARE, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
100 MELBY ST WESTBY, WI 54667
Location Phone
(608) 634-3126
Location Fax
(608) 638-5040
Mailing Address
100 MELBY ST WESTBY, WI 54667
Mailing Phone
(608) 634-3126
Mailing Fax
(608) 638-5040
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-21-2005
Last Update Date
02-02-2026
Code Navigator

A primary care provider (PCP) like Vernon Memorial Healthcare, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Oak $1,300 Gold - PPO
  • Oak $2,000 Standard Gold - PPO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED - HMO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO
  • Premier HMO $3,500 HDHP - HMO
  • Premier HMO $4,000 - 20% HDHP - HMO
  • Premier HMO $5,000 - 20% HDHP - HMO
  • Premier HMO $5,500 - 40% Copay - HMO
  • Premier HMO $7,500 HDHP - HMO
  • Premier HMO $750 - 10% - HMO
  • Premier HMO $9,500 - HMO
  • Premier POS $1,500 - 30% - POS
  • Premier POS $2,500 - 20% Copay - POS

*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

DAVID HARTBERG

Authorized Official Title
CEO
Authorized Official Phone
(608) 637-4796

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
52D0396502
Facility Type
Rural Health Clinic
Certificate Effective Date
March 22, 2024
Certificate Expiration Date
March 21, 2026
Laboratory Director
DR. WILLIAM N. CALKINS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Vernon Memorial Healthcare, 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 1215933767, 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 1 → 2 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 8 + 3 + 6 + 7 + 1 + 2 + 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 1215933767.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner
100 MELBY ST
WESTBY, WI 54667
General Practice
100 MELBY ST
WESTBY, WI 54667
Dentist
100 MELBY ST
WESTBY, WI 54667
Family Medicine
100 MELBY ST
WESTBY, WI 54667
Nurse Practitioner
100 MELBY ST
WESTBY, WI 54667

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215933767, enumerated as an "organization" on June 21, 2005.

The provider is located at 100 MELBY ST WESTBY, WI 54667 and the phone number is (608) 634-3126.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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