FOND DU LAC REGIONAL CLINIC
NPI 1760419733
Durable Medical Equipment & Medical Supplies in Waupun, WI

NPI Status: Active since June 27, 2006

Contact Information

14 BEAVER DAM ST
WAUPUN, WI
ZIP 53963
Phone: (920) 324-6800

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About FOND DU LAC REGIONAL CLINIC

This page provides the complete NPI Profile along with additional information for Fond Du Lac Regional Clinic, a provider established in Waupun, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1760419733 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 14 years ago. The provider's is doing business as Fond Du Lac Regional Clinic. The authorized official of this NPI record is Steven N Little (Svp & Cfo)

NPI
1760419733
Provider Legal Name
AGNESIAN HEALTHCARE
Other Organization Name
FOND DU LAC REGIONAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14 BEAVER DAM ST WAUPUN, WI 53963
Location Phone
(920) 324-6800
Mailing Address
420 E DIVISION ST FOND DU LAC, WI 54935
Mailing Phone
(920) 926-8340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2006
Last Update Date
09-19-2012
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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

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.

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

STEVEN N LITTLE

Authorized Official Title
SVP & CFO
Authorized Official Phone
(920) 926-5402

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
0302620017MEDICARE NSC (07)WI 

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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 1760419733, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 8 + 1 + 1 + 8 + 7 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760419733.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinical Medical Laboratory
14 BEAVER DAM ST
WAUPUN, WI 53963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760419733, enumerated as an "organization" on June 27, 2006.

The provider is located at 14 BEAVER DAM ST WAUPUN, WI 53963 and the phone number is (920) 324-6800.

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

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