PRAIRIE SURGICARE, LLC
NPI 1336408038
Clinic/Center - Ambulatory Surgical in Peoria, IL
NPI Status: Active since May 15, 2012
Contact Information
7620 N UNIVERSITY ST
SUITE 101
PEORIA, IL
ZIP 61614
Phone: (309) 691-7774
Fax: (309) 689-5768
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 14D2035815
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-24-2026
About PRAIRIE SURGICARE, LLC
This page provides the complete NPI Profile along with additional information for Prairie Surgicare, Llc, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1336408038 assigned on May 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Richard Kube Ii Md, Facss (Owner/medical Director)
- NPI
- 1336408038
- Provider Name
- PRAIRIE SURGICARE, LLC
- Entity Type
- Organization
- Location Address
- 7620 N UNIVERSITY ST SUITE 101 PEORIA, IL 61614
- Location Phone
- (309) 691-7774
- Location Fax
- (309) 689-5768
- Mailing Address
- 7620 N UNIVERSITY ST SUITE 101 PEORIA, IL 61614
- Mailing Phone
- (309) 691-7774
- Mailing Fax
- (309) 689-5768
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2012
- Last Update Date
- 05-15-2012
- Code Navigator
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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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
- 14D2035815
- Facility Type
- Physician Office
- Certificate Effective Date
- January 25, 2024
- Certificate Expiration Date
- January 24, 2026
- Laboratory Director
- RICHARD KUBE MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prairie Surgicare, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 0 | 8 | 0 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 0 | 16 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 0 + 1 + 6 + 0 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1336408038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. EDWARD C LUAN M.D.
Obstetrics & Gynecology
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL
ZIP 61614
DR. JILL A BIRKHOLZ M.D.
Obstetrics & Gynecology
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL
ZIP 61614
PRAIRIE SPINE AND PAIN INSTITUTE SC
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
7620 N UNIVERSITY ST
STE. 104
PEORIA, IL
ZIP 61614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336408038, enumerated as an "organization" on May 15, 2012.
The provider is located at 7620 N UNIVERSITY ST SUITE 101 PEORIA, IL 61614 and the phone number is (309) 691-7774.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
