INTERRA HEALTH, INC.
NPI 1396070876
Clinic/Center - Corporate Health in Milwaukee, WI

NPI Status: Active since October 16, 2009

Contact Information

8919 W HEATHER AVE
MILWAUKEE, WI
ZIP 53224
Phone: (414) 375-1600
Fax: (414) 375-1639

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  • Organization
  • Clinic/Center
  • Corporate Health
  • CLIA Number: 52D1057000
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2026

About INTERRA HEALTH, INC.

This page provides the complete NPI Profile along with additional information for Interra Health, Inc., a provider established in Milwaukee, Wisconsin operating as a Clinic/center, focusing in corporate health . The healthcare provider is registered in the NPI registry with number 1396070876 assigned on October 2009. The practitioner's primary taxonomy code is 261QC1800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ryan Sommers Dc (President)

NPI
1396070876
Provider Name
INTERRA HEALTH, INC.
Entity Type
Organization
Location Address
8919 W HEATHER AVE MILWAUKEE, WI 53224
Location Phone
(414) 375-1600
Location Fax
(414) 375-1639
Mailing Address
8919 W HEATHER AVE MILWAUKEE, WI 53224
Mailing Phone
(414) 375-1600
Mailing Fax
(414) 375-1639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2009
Last Update Date
05-07-2019
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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 Corporate Health

Taxonomy Code
261QC1800X
Type
Ambulatory Health Care Facilities

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

RYAN SOMMERS DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 755-4898

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
52D1057000
Facility Type
Physician Office
Certificate Effective Date
January 01, 2025
Certificate Expiration Date
December 31, 2026
Laboratory Director
DR. SUZANNE GEHL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Interra Health, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1396070876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186070814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 7 + 0 + 8 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1396070876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396070876, enumerated as an "organization" on October 16, 2009.

The provider is located at 8919 W HEATHER AVE MILWAUKEE, WI 53224 and the phone number is (414) 375-1600.

Clinic/Center with taxonomy code 261QC1800X and a focus in Corporate Health.