LEAD-DEADWOOD REGIONAL MEDICAL CLINIC
NPI 1720025190
Clinic/Center in Deadwood, SD

NPI Status: Active since June 02, 2006

Contact Information

71 CHARLES ST
DEADWOOD, SD
ZIP 57732
Phone: (605) 717-6431
Fax: (605) 719-6470

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  • Organization
  • Clinic/Center

About LEAD-DEADWOOD REGIONAL MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Lead-deadwood Regional Medical Clinic, a provider established in Deadwood, South Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1720025190 assigned on June 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 42-005-460372453E (SD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Lead-deadwood Regional Medical Clinic. The authorized official of this NPI record is Traci Matthew (Clinic Administrator)

NPI
1720025190
Provider Legal Name
REGIONAL HEALTH
Other Organization Name
LEAD-DEADWOOD REGIONAL MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
71 CHARLES ST DEADWOOD, SD 57732
Location Phone
(605) 717-6431
Location Fax
(605) 719-6470
Mailing Address
71 CHARLES ST DEADWOOD, SD 57732
Mailing Phone
(605) 717-6431
Mailing Fax
(605) 719-6470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
12-26-2007
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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
License No.
42-005-460372453E
License State
SD
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)
1291U00000XLaboratories

Clinical Medical Laboratory

(SD)

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

TRACI MATTHEW

Authorized Official Title
CLINIC ADMINISTRATOR
Authorized Official Phone
(605) 717-6431

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
100931MEDICARE PIN (08)SD 

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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 1720025190, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 0 + 2 + 1 + 0 + 1 + 1 + 8 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720025190.

Other Providers at the Same Location


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

Registered Nurse (Diabetes Educator)
71 CHARLES ST
DEADWOOD, SD 57732
Dietitian, Registered
71 CHARLES ST
DEADWOOD, SD 57732
Durable Medical Equipment & Medical Supplies
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Family Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Physician Assistant
71 CHARLES ST
DEADWOOD, SD 57732
Pharmacist
71 CHARLES ST
DEADWOOD, SD 57732
Physician Assistant
71 CHARLES ST
DEADWOOD, SD 57732
Pharmacist
71 CHARLES ST
DEADWOOD, SD 57732
Clinic/Center (Multi-Specialty)
71 CHARLES ST
DEADWOOD, SD 57732
Clinic/Center (Multi-Specialty)
71 CHARLES ST
DEADWOOD, SD 57732
Clinic/Center
71 CHARLES ST
DEADWOOD, SD 57732
Family Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Dietitian, Registered
71 CHARLES ST
DEADWOOD, SD 57732
Dietitian, Registered
71 CHARLES ST
DEADWOOD, SD 57732
Family Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Family Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Pharmacist
71 CHARLES ST
DEADWOOD, SD 57732
Pharmacy (Community/Retail Pharmacy)
71 CHARLES ST
DEADWOOD, SD 57732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720025190, enumerated as an "organization" on June 02, 2006.

The provider is located at 71 CHARLES ST DEADWOOD, SD 57732 and the phone number is (605) 717-6431.

Clinic/Center with taxonomy code 261Q00000X.

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