COMMUNITY CARE OF CENTRAL WISCONSIN
NPI 1407002546
Exclusive Provider Organization in Stevens Point, WI
NPI Status: Active since August 08, 2008
Contact Information
3349 CHURCH ST STE 1
STEVENS POINT, WI
ZIP 54481
Phone: (715) 345-5968
Fax: (715) 345-5725
- Organization
- Exclusive Provider Organization
About COMMUNITY CARE OF CENTRAL WISCONSIN
This page provides the complete NPI Profile along with additional information for Community Care Of Central Wisconsin, a provider established in Stevens Point, Wisconsin operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1407002546 assigned on August 2008. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Lucy Ellen Runnells Mpa (Chief Financial Officer)
- NPI
- 1407002546
- Provider Name
- COMMUNITY CARE OF CENTRAL WISCONSIN
- Entity Type
- Organization
- Location Address
- 3349 CHURCH ST STE 1 STEVENS POINT, WI 54481
- Location Phone
- (715) 345-5968
- Location Fax
- (715) 345-5725
- Mailing Address
- 3349 CHURCH ST STE 1 STEVENS POINT, WI 54481
- Mailing Phone
- (715) 345-5968
- Mailing Fax
- (715) 345-5725
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2008
- Last Update Date
- 08-08-2008
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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.
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 |
|---|---|---|---|
| 69005700 | MEDICAID (05) | WI |
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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 1407002546, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407002546, enumerated as an "organization" on August 08, 2008.
The provider is located at 3349 CHURCH ST STE 1 STEVENS POINT, WI 54481 and the phone number is (715) 345-5968.
Exclusive Provider Organization with taxonomy code 302F00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
