FORDEM HEALTH, LLC
NPI 1639622236
Clinic/Center - Medical Specialty in Munster, IN

NPI Status: Active since July 31, 2016

Contact Information

1313 PARK DR
MUNSTER, IN
ZIP 46321
Phone: (877) 757-2568

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  • Organization
  • Clinic/Center
  • Medical Specialty

About FORDEM HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Fordem Health, Llc, a provider established in Munster, Indiana operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1639622236 assigned on July 2016. The practitioner's primary taxonomy code is 261QM2500X with license number 02001522 (IN). 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 Dr. David John Foreit Do (Medical Director)

NPI
1639622236
Provider Name
FORDEM HEALTH, LLC
Entity Type
Organization
Location Address
1313 PARK DR MUNSTER, IN 46321
Location Phone
(877) 757-2568
Mailing Address
730 45TH AVE MUNSTER, IN 46321
Mailing Phone
(877) 757-2568
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2016
Last Update Date
10-28-2020
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
02001522
License State
IN
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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.

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. DAVID JOHN FOREIT DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(877) 757-2568

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
256390COTHER (01)MEDICARE #
1376740647OTHER (01)NPI NUMBER

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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 1639622236, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 6 → 12 → 3 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 2 + 4 + 2 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1639622236.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639622236, enumerated as an "organization" on July 31, 2016.

The provider is located at 1313 PARK DR MUNSTER, IN 46321 and the phone number is (877) 757-2568.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

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