SSM HEALTH FOND DU LAC REGIONAL CLINIC
NPI 1689610735
Durable Medical Equipment & Medical Supplies in Fond Du Lac, WI

NPI Status: Active since June 20, 2006

Contact Information

145 N MAIN ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 926-8492

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About SSM HEALTH FOND DU LAC REGIONAL CLINIC

This page provides the complete NPI Profile along with additional information for Ssm Health Fond Du Lac Regional Clinic, a provider established in Fond Du Lac, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689610735 assigned on June 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Ssm Health Fond Du Lac Regional Clinic. The authorized official of this NPI record is Amy Grinnell (Vp-finance, Cfo)

NPI
1689610735
Provider Legal Name
AGNESIAN HEALTHCARE INC
Other Organization Name
SSM HEALTH FOND DU LAC REGIONAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
145 N MAIN ST FOND DU LAC, WI 54935
Location Phone
(920) 926-8492
Mailing Address
1808 W BELTLINE HWY MADISON, WI 53713
Mailing Phone
(608) 250-1593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
Last Update Date
06-06-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

AMY GRINNELL

Authorized Official Title
VP-FINANCE, CFO
Authorized Official Phone
(608) 260-3586

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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 1689610735, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 8 → 16 → 7 6 → 12 → 3 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 2 + 1 + 0 + 7 + 6 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1689610735.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Internal Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Surgery
145 N MAIN ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
145 N MAIN ST
FOND DU LAC, WI 54935
Pharmacist
145 N MAIN ST
FOND DU LAC, WI 54935
Nurse Practitioner
145 N MAIN ST
FOND DU LAC, WI 54935
Pharmacist
145 N MAIN ST
FOND DU LAC, WI 54935
Pharmacist
145 N MAIN ST
FOND DU LAC, WI 54935
Pharmacist
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Pharmacist
145 N MAIN ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
145 N MAIN ST
FOND DU LAC, WI 54935
Student in an Organized Health Care Education/Training Program
145 N MAIN ST
FOND DU LAC, WI 54935
Dermatology
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Family Medicine
145 N MAIN ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
145 N MAIN ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689610735, enumerated as an "organization" on June 20, 2006.

The provider is located at 145 N MAIN ST FOND DU LAC, WI 54935 and the phone number is (920) 926-8492.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.