WESTERN LUCAS COUNTY CLINIC
NPI 1841274008
Clinic/Center - Public Health, State or Local in Holland, OH

NPI Status: Active since December 01, 2005

Contact Information

330 OAK TERRACE BLVD
HOLLAND, OH
ZIP 43528
Phone: (419) 213-4049
Fax: (419) 213-4017

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  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • CLIA Number: 36D2309170
  • CLIA Cert. Type: Other - JAIL
  • CLIA Exp. Date: 08-10-2026

About WESTERN LUCAS COUNTY CLINIC

This page provides the complete NPI Profile along with additional information for Western Lucas County Clinic, a primary care provider established in Holland, Ohio operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1841274008 assigned on December 2005. The practitioner's primary taxonomy code is 261QP0905X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Western Lucas County Clinic. The authorized official of this NPI record is Bob Pongtana (Director, Administrative Services)

NPI
1841274008
Provider Legal Name
LUCAS COUNTY AUDITOR
Other Organization Name
WESTERN LUCAS COUNTY CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
330 OAK TERRACE BLVD HOLLAND, OH 43528
Location Phone
(419) 213-4049
Location Fax
(419) 213-4017
Mailing Address
635 N ERIE ST ATTN BILLING KATHY TOLEDO, OH 43604
Mailing Phone
(419) 213-4049
Mailing Fax
(419) 213-4017
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2005
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Western Lucas County Clinic 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 Public Health, State or Local

Taxonomy Code
261QP0905X
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:

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

BOB PONGTANA

Authorized Official Title
DIRECTOR, ADMINISTRATIVE SERVICES
Authorized Official Phone
(419) 213-4049

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
10250OTHER (01)OHPARAMOUNT PROVIDER ID
0262246MEDICAID (05)OH 
727681OTHER (01)OHBUCKEYE PROVIDER ID

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2309170
Facility Type
Other - JAIL
Certificate Effective Date
August 11, 2024
Certificate Expiration Date
August 10, 2026
Laboratory Director
SHELLY VIETS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Lucas County Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WESTERN LUCAS COUNTY CLINIC

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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 1841274008, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 4 → 8 2 → 4 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 4 + 7 + 8 + 0 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1841274008.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Registered Nurse
330 OAK TERRACE BLVD
HOLLAND, OH 43528
Clinic/Center (Federally Qualified Health Center (FQHC))
330 OAK TERRACE BLVD, BILLING DEPARTMENT
HOLLAND, OH 43528
Registered Nurse
330 OAK TERRACE BLVD
HOLLAND, OH 43528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841274008, enumerated as an "organization" on December 01, 2005.

The provider is located at 330 OAK TERRACE BLVD HOLLAND, OH 43528 and the phone number is (419) 213-4049.

Clinic/Center with taxonomy code 261QP0905X and a focus in Public Health, State or Local.

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