IMMEDICARE CARE CLINIC PC
NPI 1942292149
Family Medicine in Ruidoso, NM

NPI Status: Active since August 16, 2005

Contact Information

721 MECHEM DR
SIERRA MALL
RUIDOSO, NM
ZIP 88345
Phone: (505) 630-5300
Fax: (505) 630-5301

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  • Organization
  • Family Medicine

About IMMEDICARE CARE CLINIC PC

This page provides the complete NPI Profile along with additional information for Immedicare Care Clinic Pc, a primary care provider established in Ruidoso, New Mexico operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1942292149 assigned on August 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Immedicare Care Clinic Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Marilyn Nishitani Fnp (Owner)

NPI
1942292149
Provider Name
IMMEDICARE CARE CLINIC PC
Entity Type
Organization
Location Address
721 MECHEM DR SIERRA MALL RUIDOSO, NM 88345
Location Phone
(505) 630-5300
Location Fax
(505) 630-5301
Mailing Address
721 MECHEM DR SIERRA MALL RUIDOSO, NM 88345
Mailing Phone
(505) 630-5300
Mailing Fax
(505) 630-5301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2005
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Immedicare Care Clinic Pc 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MARILYN NISHITANI FNP

Authorized Official Title
OWNER
Authorized Official Phone
(505) 630-5300

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
36888257MEDICAID (05)NM 

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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 1942292149, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 4 + 9 + 4 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1942292149.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
721 MECHEM DR
RUIDOSO, NM 88345
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345
Pharmacy
721 MECHEM DR
RUIDOSO, NM 88345
Pharmacist
721 MECHEM DR, LONG'S PHARMACY AND GIFTS
RUIDOSO, NM 88345
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345
Pharmacy (Community/Retail Pharmacy)
721 MECHEM DR
RUIDOSO, NM 88345
Pharmacist
721 MECHEM DR
RUIDOSO, NM 88345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942292149, enumerated as an "organization" on August 16, 2005.

The provider is located at 721 MECHEM DR SIERRA MALL RUIDOSO, NM 88345 and the phone number is (505) 630-5300.

Family Medicine with taxonomy code 207Q00000X.

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