CANNONBALL CLINIC
NPI 1336286798
Clinic/Center - Public Health, Federal in Cannonball, ND

NPI Status: Active since February 01, 2007

Contact Information

6998 WEASEL STREET
CANNONBALL, ND
ZIP 58528
Phone: (701) 854-3831
Fax: (701) 854-7411

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  • Organization
  • Clinic/Center
  • Public Health, Federal
  • Accepts Insurance

About CANNONBALL CLINIC

This page provides the complete NPI Profile along with additional information for Cannonball Clinic, a primary care provider established in Cannonball, North Dakota operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1336286798 assigned on February 2007. The practitioner's primary taxonomy code is 261QP0904X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Cannonball Clinic. The authorized official of this NPI record is Jana Rhea Gipp (Chief Executive Officer)

NPI
1336286798
Provider Legal Name
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
Other Organization Name
CANNONBALL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6998 WEASEL STREET CANNONBALL, ND 58528
Location Phone
(701) 854-3831
Location Fax
(701) 854-7411
Mailing Address
PO BOX J FORT YATES, ND 58538
Mailing Phone
(701) 854-3831
Mailing Fax
(701) 854-7411
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-01-2007
Last Update Date
08-09-2018
Code Navigator

A primary care provider (PCP) like Cannonball Clinic 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 Public Health, Federal

Taxonomy Code
261QP0904X
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:

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

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

JANA RHEA GIPP

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(701) 854-8211

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
1459056MEDICAID (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 1336286798, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 3 → 6 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 4 + 8 + 1 + 2 + 7 + 1 + 8 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1336286798.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336286798, enumerated as an "organization" on February 01, 2007.

The provider is located at 6998 WEASEL STREET CANNONBALL, ND 58528 and the phone number is (701) 854-3831.

Clinic/Center with taxonomy code 261QP0904X and a focus in Public Health, Federal.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medicare. Please consult your insurance carrier or call the provider to verify.