MEMORIAL MEDICAL CENTER INC
NPI 1801005210
Psychiatric Unit in Ashland, WI

NPI Status: Active since May 22, 2007

Contact Information

1615 MAPLE LN
ASHLAND, WI
ZIP 54806
Phone: (715) 685-5500
Fax: (715) 685-5118

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  • Organization
  • Psychiatric Unit

About MEMORIAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Memorial Medical Center Inc, a provider established in Ashland, Wisconsin operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1801005210 assigned on May 2007. The practitioner's primary taxonomy code is 273R00000X with license number 275 (WI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Jason T Douglas (President)

NPI
1801005210
Provider Name
MEMORIAL MEDICAL CENTER INC
Entity Type
Organization
Location Address
1615 MAPLE LN ASHLAND, WI 54806
Location Phone
(715) 685-5500
Location Fax
(715) 685-5118
Mailing Address
1615 MAPLE LN ASHLAND, WI 54806
Mailing Phone
(715) 685-5500
Mailing Fax
(715) 685-5118
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-22-2007
Last Update Date
08-26-2015
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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

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
275
License State
WI
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

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.

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

MR. JASON T DOUGLAS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(715) 685-5512

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
36585MEOTHER (01)MNBCBS PROF COMPONENT
000000250MEDICARE ID-TYPE UNSPECIFIED (04)WI 
0160JMEOTHER (01)MNBLUE CROSS BLUE SHIELD
CD8476MEDICARE ID-TYPE UNSPECIFIED (04)WI 
52M359MEDICARE OSCAR/CERTIFICATION (06) 
3901638OTHER (01)WIMEDICA PROF COMPONENT
11019526MEDICAID (05)WI 
0160HMEOTHER (01)MNBLUE CROSS BLUE SHIELD
01022385OTHER (01)WIPREFERRED ONE
11019500MEDICAID (05)WI 
5025472OTHER (01)WIMEDICA
11019521MEDICAID (05)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 1801005210, 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 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
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 0 → 0 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 0 + 0 + 1 + 0 + 2 + 2 + 24 = 40

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

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1801005210.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
1615 MAPLE LN
ASHLAND, WI 54806
Family Medicine
1615 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1615 MAPLE LN
ASHLAND, WI 54806
Occupational Therapist
1615 MAPLE LN
ASHLAND, WI 54806
Occupational Therapy Assistant
1615 MAPLE LN
ASHLAND, WI 54806
Dietitian, Registered
1615 MAPLE LN
ASHLAND, WI 54806
Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Internal Medicine (Gastroenterology)
1615 MAPLE LN
ASHLAND, WI 54806
Otolaryngology
1615 MAPLE LN
ASHLAND, WI 54806
Orthopaedic Surgery
1615 MAPLE LN, SUITE 1
ASHLAND, WI 54806
Family Medicine
1615 MAPLE LN, SUITE 1
ASHLAND, WI 54806
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Radiology (Radiation Oncology)
1615 MAPLE LN
ASHLAND, WI 54806
Dietitian, Registered
1615 MAPLE LN
ASHLAND, WI 54806
Physician Assistant
1615 MAPLE LN
ASHLAND, WI 54806
Nurse Anesthetist, Certified Registered
1615 MAPLE LN
ASHLAND, WI 54806
Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Nurse Practitioner (Psychiatric/Mental Health)
1615 MAPLE LN
ASHLAND, WI 54806
Dietitian, Registered
1615 MAPLE LN
ASHLAND, WI 54806
Pathology (Anatomic Pathology & Clinical Pathology)
1615 MAPLE LN
ASHLAND, WI 54806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801005210, enumerated as an "organization" on May 22, 2007.

The provider is located at 1615 MAPLE LN ASHLAND, WI 54806 and the phone number is (715) 685-5500.

Psychiatric Unit with taxonomy code 273R00000X.

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