GSH BICKNELL DIAGNOSTIC CENTER
NPI 1376900985
Radiologic Technologist in Bicknell, IN

NPI Status: Active since January 27, 2016

Contact Information

510 W 11TH ST
BICKNELL, IN
ZIP 47512
Phone: (812) 735-4040
Fax: (812) 735-3332

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  • Organization
  • Radiologic Technologist
  • CLIA Number: 15D2282995
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-30-2027

About GSH BICKNELL DIAGNOSTIC CENTER

This page provides the complete NPI Profile along with additional information for Gsh Bicknell Diagnostic Center, a provider established in Bicknell, Indiana operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1376900985 assigned on January 2016. The practitioner's primary taxonomy code is 247100000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Gsh Bicknell Diagnostic Center 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 Gsh Bicknell Diagnostic Center. The authorized official of this NPI record is Robert D Mclin (Ceo)

NPI
1376900985
Provider Legal Name
GOOD SAMARITAN HOSPITAL
Other Organization Name
GSH BICKNELL DIAGNOSTIC CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
510 W 11TH ST BICKNELL, IN 47512
Location Phone
(812) 735-4040
Location Fax
(812) 735-3332
Mailing Address
520 S 7TH ST VINCENNES, IN 47591
Mailing Phone
(812) 885-3333
Mailing Fax
(812) 735-3332
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2016
Last Update Date
01-27-2016
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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

Radiologic Technologist

Taxonomy Code
247100000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246RP1900XTechnologists, Technicians & Other Technical Service Providers

Technician, Pathology
Phlebotomy

 

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.

Insurance Plans Accepted

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

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

ROBERT D MCLIN

Authorized Official Title
CEO
Authorized Official Phone
(812) 885-3333

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
16-005038-1OTHER (01)INLICENSE

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
15D2282995
Facility Type
Physician Office
Certificate Effective Date
May 31, 2025
Certificate Expiration Date
May 30, 2027
Laboratory Director
TOM KIRKWOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gsh Bicknell Diagnostic Center 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 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 1376900985, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 7 → 14 → 5 9 → 18 → 9 0 → 0 8 → 16 → 7

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 + 8 + 0 + 0 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376900985.

Other Providers at the Same Location


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

Family Medicine
510 W 11TH ST
BICKNELL, IN 47512
Family Medicine
510 W 11TH ST
BICKNELL, IN 47512
Nurse Practitioner (Family)
510 W 11TH ST
BICKNELL, IN 47512
Clinic/Center (Rural Health)
510 W 11TH ST
BICKNELL, IN 47512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376900985, enumerated as an "organization" on January 27, 2016.

The provider is located at 510 W 11TH ST BICKNELL, IN 47512 and the phone number is (812) 735-4040.

Radiologic Technologist with taxonomy code 247100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.