PROVIDENCE MEDICAL CENTER
NPI 1699556647
Clinic/Center - Primary Care in Wayne, NE

NPI Status: Active since October 06, 2023

Contact Information

1200 PROVIDENCE RD
WAYNE, NE
ZIP 68787
Phone: (402) 375-3800
Fax: (402) 375-7610

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance

About PROVIDENCE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Providence Medical Center, a primary care provider established in Wayne, Nebraska operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1699556647 assigned on October 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Danielle Gearhart (Ceo)

NPI
1699556647
Provider Name
PROVIDENCE MEDICAL CENTER
Entity Type
Organization
Location Address
1200 PROVIDENCE RD WAYNE, NE 68787
Location Phone
(402) 375-3800
Location Fax
(402) 375-7610
Mailing Address
1200 PROVIDENCE RD WAYNE, NE 68787
Mailing Phone
(402) 375-3800
Mailing Fax
(402) 375-7610
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-06-2023
Last Update Date
10-06-2023
Code Navigator

A primary care provider (PCP) like Providence Medical Center 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 .

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Gold 1000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 2000 Premier Select BlueChoice - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO

*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

DANIELLE GEARHART

Authorized Official Title
CEO
Authorized Official Phone
(402) 375-3800

Reviews for PROVIDENCE MEDICAL CENTER

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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 1699556647, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 0 + 5 + 1 + 2 + 6 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1699556647.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Occupational Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Occupational Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Specialist/Technologist (Athletic Trainer)
1200 PROVIDENCE RD
WAYNE, NE 68787
Occupational Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Social Worker (Clinical)
1200 PROVIDENCE RD
WAYNE, NE 68787
Clinic/Center (Federally Qualified Health Center (FQHC))
1200 PROVIDENCE RD
WAYNE, NE 68787
Pharmacist
1200 PROVIDENCE RD
WAYNE, NE 68787
Nurse Practitioner (Family)
1200 PROVIDENCE RD
WAYNE, NE 68787
Occupational Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Physical Therapist
1200 PROVIDENCE RD
WAYNE, NE 68787
Dietitian, Registered
1200 PROVIDENCE RD
WAYNE, NE 68787
Medicare Defined Swing Bed Unit
1200 PROVIDENCE RD
WAYNE, NE 68787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699556647, enumerated as an "organization" on October 06, 2023.

The provider is located at 1200 PROVIDENCE RD WAYNE, NE 68787 and the phone number is (402) 375-3800.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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