SJC-AVA
NPI 1861617730
Durable Medical Equipment & Medical Supplies in Ava, MO

NPI Status: Active since April 16, 2007

Contact Information

1312 NORTH HIGHWAY 5
AVA, MO
ZIP 65608
Phone: (417) 683-4045
Fax: (417) 683-6069

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About SJC-AVA

This page provides the complete NPI Profile along with additional information for Sjc-ava, a provider established in Ava, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1861617730 assigned on April 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Sjc-ava. The authorized official of this NPI record is Donn E. Sorensen (Senior Vice President)

NPI
1861617730
Provider Legal Name
ST JOHNS CLINIC INC
Other Organization Name
SJC-AVA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1312 NORTH HIGHWAY 5 AVA, MO 65608
Location Phone
(417) 683-4045
Location Fax
(417) 683-6069
Mailing Address
PO BOX 2580 SPRINGFIELD, MO 65801
Mailing Phone
(417) 829-4620
Mailing Fax
(417) 683-6069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2007
Last Update Date
06-30-2008
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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
License State
MO
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

DONN E. SORENSEN

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(417) 829-4620

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
0472580004MEDICARE ID-TYPE UNSPECIFIED (04)MODME MO MDCR GRP. #

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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 1861617730, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
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 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 2 + 1 + 1 + 4 + 7 + 6 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1861617730.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1312 NORTH HIGHWAY 5
AVA, MO 65608
Clinic/Center (Rural Health)
1312 NORTH HIGHWAY 5
AVA, MO 65608

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861617730, enumerated as an "organization" on April 16, 2007.

The provider is located at 1312 NORTH HIGHWAY 5 AVA, MO 65608 and the phone number is (417) 683-4045.

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.