GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
NPI 1639401508
Clinic/Center in Gothenburg, NE

NPI Status: Active since February 03, 2010

Contact Information

918 20TH STREET
GOTHENBURG, NE
ZIP 69138
Phone: (308) 537-7131
Fax: (308) 537-7310

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  • Organization
  • Clinic/Center

About GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC

This page provides the complete NPI Profile along with additional information for Gothenburg Family Practice Rural Health Clinic Llc, a provider established in Gothenburg, Nebraska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1639401508 assigned on February 2010. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Gerald E Matzke Jr. M.d. (Partner)

NPI
1639401508
Provider Name
GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
Entity Type
Organization
Location Address
918 20TH STREET GOTHENBURG, NE 69138
Location Phone
(308) 537-7131
Location Fax
(308) 537-7310
Mailing Address
918 20TH STREET GOTHENBURG, NE 69138
Mailing Phone
(308) 537-7131
Mailing Fax
(308) 537-7310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2010
Last Update Date
04-13-2012
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

10025929400 (NE)

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.

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

GERALD E MATZKE JR. M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(308) 537-7131

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
10025929400MEDICAID (05)NE 
60387OTHER (01)NEBC/BS
283875MEDICARE PIN (08) 
60387OTHER (01)BC/BS
283875MEDICARE OSCAR/CERTIFICATION (06)NE 

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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 1639401508, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 3 → 6 4 → 8 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 8 + 0 + 2 + 5 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1639401508.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Physician Assistant
918 20TH STREET
GOTHENBURG, NE 69138
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639401508, enumerated as an "organization" on February 03, 2010.

The provider is located at 918 20TH STREET GOTHENBURG, NE 69138 and the phone number is (308) 537-7131.

Clinic/Center with taxonomy code 261Q00000X.

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