PRIME HEALTH
NPI 1922390012
Clinic/Center in Madison, OH
NPI Status: Active since May 06, 2011
Contact Information
6067 N RIDGE RD
MADISON, OH
ZIP 44057
Phone: (440) 417-0002
Fax: (440) 417-0020
- Organization
- Clinic/Center
- CLIA Number: 36D0693042
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-24-2026
About PRIME HEALTH
This page provides the complete NPI Profile along with additional information for Prime Health, a provider established in Madison, Ohio operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1922390012 assigned on May 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Prime Health. The authorized official of this NPI record is Mr. Michael Kittoe (Cfo)
- NPI
- 1922390012
- Provider Legal Name
- LAKE HOSPITAL SYSTEM INC
- Other Organization Name
- PRIME HEALTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 6067 N RIDGE RD MADISON, OH 44057
- Location Phone
- (440) 417-0002
- Location Fax
- (440) 417-0020
- Mailing Address
- PO BOX 714328 COLUMBUS, OH 43271
- Mailing Phone
- (440) 354-1985
- Mailing Fax
- (440) 417-0020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2011
- Last Update Date
- 09-26-2011
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- 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).
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
- 36D0693042
- Facility Type
- Physician Office
- Certificate Effective Date
- August 25, 2024
- Certificate Expiration Date
- August 24, 2026
- Laboratory Director
- JULIA HENG MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Health 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.
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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 1922390012, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922390012, enumerated as an "organization" on May 06, 2011.
The provider is located at 6067 N RIDGE RD MADISON, OH 44057 and the phone number is (440) 417-0002.
Clinic/Center with taxonomy code 261Q00000X.
