FREDONIA MEDICAL CENTER, INC
NPI 1629220504
Clinic/Center - Primary Care in Kingman, AZ

NPI Status: Active since October 22, 2008

Contact Information

201 E SPRING ST
KINGMAN, AZ
ZIP 86401
Phone: (928) 715-4311
Fax: (928) 718-1986

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  • Organization
  • Clinic/Center
  • Primary Care

About FREDONIA MEDICAL CENTER, INC

Fredonia Medical Center, Inc is a primary care provider established in Kingman, Arizona operating as a Clinic/center with a focus in primary care . The healthcare provider is registered in the NPI registry with number 1629220504 assigned on October 2008. The practitioner's primary taxonomy code is 261QP2300X with license number 08709408 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Kirsten Mortenson D.o. (Ceo)

NPI
1629220504
Provider Name
FREDONIA MEDICAL CENTER, INC
Entity Type
Organization
Location Address
201 E SPRING ST KINGMAN, AZ 86401
Location Phone
(928) 715-4311
Location Fax
(928) 718-1986
Mailing Address
201 E SPRING ST KINGMAN, AZ 86401
Mailing Phone
(928) 715-4311
Mailing Fax
(928) 718-1986
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-22-2008
Last Update Date
10-22-2008
Code Navigator

A primary care provider (PCP) like Fredonia Medical Center, 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 .

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
08709408
License State
AZ

Insurance Plans Accepted

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

  • Medicare

  • Medicaid


*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

DR. KIRSTEN MORTENSON D.O.

Authorized Official Title
CEO
Authorized Official Phone
(928) 715-4311

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
F05227OTHER (01)AZUPIN
1174517767OTHER (01)AZPERSONAL NPI NUMBER

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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.
1629220504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264942050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 2 + 0 + 5 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1629220504 is valid because the calculated check digit 4 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 1629220504, enumerated in the NPI registry as an "organization" on October 22, 2008

The provider is located at 201 E Spring St Kingman, Az 86401 and the phone number is (928) 715-4311

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 22, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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