MARQUETTE GENERAL FASTCARE-ESCANABA
NPI 1306004155
Nurse Practitioner - Family in Escanaba, MI

NPI Status: Active since May 29, 2008

Contact Information

2530 1ST AVE N
ESCANABA, MI
ZIP 49829
Phone: (906) 225-3674

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 23D0690740
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-30-2027

About MARQUETTE GENERAL FASTCARE-ESCANABA

This page provides the complete NPI Profile along with additional information for Marquette General Fastcare-escanaba, a provider established in Escanaba, Michigan operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1306004155 assigned on May 2008. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Marquette General Fastcare-escanaba operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Marquette General Fastcare-escanaba. The authorized official of this NPI record is A. Gary Muller (Ceo)

NPI
1306004155
Provider Legal Name
MARQUETTE GENERAL HOSPITAL, INC.
Other Organization Name
MARQUETTE GENERAL FASTCARE-ESCANABA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2530 1ST AVE N ESCANABA, MI 49829
Location Phone
(906) 225-3674
Mailing Address
PO BOX 220 MARQUETTE, MI 49855
Mailing Phone
(906) 225-3630
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2008
Last Update Date
05-29-2008
Code Navigator

A nurse practitioner (NP) like Marquette General Fastcare-escanaba is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

A. GARY MULLER

Authorized Official Title
CEO
Authorized Official Phone
(906) 225-3674

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
23D0690740
Facility Type
Community Clinic
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
CRAIG COUSINEAU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Marquette General Fastcare-escanaba on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1306004155, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 0 + 0 + 8 + 1 + 1 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306004155.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
2530 1ST AVE N
ESCANABA, MI 49829
Eyewear Supplier
2530 1ST AVE N
ESCANABA, MI 49829
Nurse Practitioner
2530 1ST AVE N
ESCANABA, MI 49829
Pharmacy (Community/Retail Pharmacy)
2530 1ST AVE N
ESCANABA, MI 49829

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306004155, enumerated as an "organization" on May 29, 2008.

The provider is located at 2530 1ST AVE N ESCANABA, MI 49829 and the phone number is (906) 225-3674.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.