WAGNER COMMUNITY MEMORIAL HOSPITAL
NPI 1629135645
Medicare Defined Swing Bed Unit in Wagner, SD
NPI Status: Active since January 02, 2007
Contact Information
513 3RD ST SW
WAGNER, SD
ZIP 57380
Phone: (605) 384-3611
Fax: (605) 384-3232
- Organization
- Medicare Defined Swing Bed Unit
- Accepts Insurance
- CLIA Number: 43D0953483
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-02-2026
About WAGNER COMMUNITY MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Wagner Community Memorial Hospital, a provider established in Wagner, South Dakota operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1629135645 assigned on January 2007. The practitioner's primary taxonomy code is 275N00000X with license number 10571 (SD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Bryan Slaba (Ceo)
- NPI
- 1629135645
- Provider Name
- WAGNER COMMUNITY MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 513 3RD ST SW WAGNER, SD 57380
- Location Phone
- (605) 384-3611
- Location Fax
- (605) 384-3232
- Mailing Address
- 513 3RD ST SW PO BOX 280 WAGNER, SD 57380
- Mailing Phone
- (605) 384-3611
- Mailing Fax
- (605) 384-3232
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-02-2007
- Last Update Date
- 03-07-2017
- 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
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 10571
- License State
- SD
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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) |
|---|---|---|---|---|
| 1 | 282E00000X | Hospitals | Long Term Care Hospital | 10571 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- ConnectPlus Standard $6000 - PPO
- ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
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 |
|---|---|---|---|
| 43Z315 | MEDICARE OSCAR/CERTIFICATION (06) | SD | |
| 8Z1315 | OTHER (01) | SD | BC SLTC |
| 1007417 | MEDICAID (05) | SD |
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
- 43D0953483
- Facility Type
- Physician Office
- Certificate Effective Date
- November 03, 2024
- Certificate Expiration Date
- November 02, 2026
- Laboratory Director
- SARAH GARCIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wagner Community Memorial Hospital 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 1629135645, 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.
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WAGNER, SD 57380
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629135645, enumerated as an "organization" on January 02, 2007.
The provider is located at 513 3RD ST SW WAGNER, SD 57380 and the phone number is (605) 384-3611.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
The provider might be accepting Accepts: Avera Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
