BLACK RIVER HEALTHCARE, INC.
NPI 1376841064
Clinic/Center - Rural Health in Poplar Bluff, MO

NPI Status: Active since March 04, 2011

Contact Information

1879 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 727-9793
Fax: (573) 785-1854

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  • Organization
  • Clinic/Center
  • Rural Health

About BLACK RIVER HEALTHCARE, INC.

This page provides the complete NPI Profile along with additional information for Black River Healthcare, Inc., a primary care provider established in Poplar Bluff, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1376841064 assigned on March 2011. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Shelly Yvonne Gresham Fnp (Family Nurse Practitioner)

NPI
1376841064
Provider Name
BLACK RIVER HEALTHCARE, INC.
Entity Type
Organization
Location Address
1879 N WESTWOOD BLVD POPLAR BLUFF, MO 63901
Location Phone
(573) 727-9793
Location Fax
(573) 785-1854
Mailing Address
1879 N WESTWOOD BLVD POPLAR BLUFF, MO 63901
Mailing Phone
(573) 727-9793
Mailing Fax
(573) 785-1854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2011
Last Update Date
07-19-2011
Code Navigator

A primary care provider (PCP) like Black River 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
License State
MO

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

MRS. SHELLY YVONNE GRESHAM FNP

Authorized Official Title
FAMILY NURSE PRACTITIONER
Authorized Official Phone
(573) 727-9793

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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 1376841064, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 7 → 14 → 5 8 → 16 → 7 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 6 + 4 + 2 + 0 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1376841064.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
1879 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376841064, enumerated as an "organization" on March 04, 2011.

The provider is located at 1879 N WESTWOOD BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 727-9793.

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