POTOSI MANOR
NPI 1053307322
Skilled Nursing Facility in Potosi,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 22, 2005

Contact Information

307 S Highway 21
Potosi,
Post Code: 63664
Phone: (573) 438-3225
Fax: (573) 438-1230

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Potosi Manor in Potosi - Skilled Nursing Facility

Potosi Manor is a Skilled Nursing Facility in Potosi, . Potosi Manor practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Potosi Manor is 1053307322. The last update date is 2011-11-04.

Potosi Manor's current location address is 307 S Highway 21, Potosi, . You can contact this provider via phone number (573) 438-3225 and fax number (573) 438-1230. The mailing address for Potosi Manor is 307 S Highway 21, Potosi, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053307322
Provider Legal Name
POTOSI MANOR, INC.
Other Organization Name
POTOSI MANOR
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
307 S Highway 21, Potosi,
Location Phone
(573) 438-3225
Location Fax
(573) 438-1230
Mailing Address
307 S Highway 21, Potosi, Missouri(MO)
Mailing Phone
573-438-3225
Mailing Fax
573-438-1230
Enumeration Date
2005-09-22
Last Update Date
2011-11-04
Code Navigator

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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
031634
License State
Missouri (MO)
Taxonomy Description
-

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
16667131 Other (non-Medicare) (01) Missouri (MO) State ID
108841503 MEDICAID (05) Missouri (MO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053307322
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103601434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20103601434
2 + 0 + 1 + 0 + 3 + 6 + 0 + 1 + 4 + 3 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1053307322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819137 SUSAN MARIE MOU
Individual
Obstetrics & Gynecology 2310 HOLMES ST
KANSAS CITY, Missouri (MO)
816-218-2500
1003819947 MARK J MALLEY
Individual
Radiology, Diagnostic Radiology 630 NW ENGLEWOOD RD
KANSAS CITY, Missouri (MO)
816-453-2700
1023011343 MICHAEL DAVE MCVICKER
Individual
Nurse Practitioner, Family HC 67 BOX 76
MOUNTAIN VIEW, Missouri (MO)
417-934-5055
1023010311 BLUE RIDGE SURGICAL CENTER, LLC
Organization
Clinic/Center, Ambulatory Surgical 4240 BLUE RIDGE BLVD
KANSAS CITY, Missouri (MO)
816-358-9990
1043212228 SALLY A. BOMAR
Individual
Family Medicine 114 EAST SOUTH HILLS DR.
MARYVILLE, Missouri (MO)
660-562-2525