GATEWAY FAMILY HEALTH CLINIC, LTD.
NPI 1356344451
Family Medicine in Moose Lake,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

4570 Cty Hwy 61
Moose Lake,
Post Code: 55767
Phone: (218) 485-4491
Fax: (218) 485-4724

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Gateway Family Health Clinic, Ltd. in Moose Lake - Family Medicine

Gateway Family Health Clinic, Ltd. is a Family Medicine in Moose Lake, . Gateway Family Health Clinic, Ltd. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gateway Family Health Clinic, Ltd. is 1356344451. The last update date is 2015-10-16.

Gateway Family Health Clinic, Ltd.'s current location address is 4570 Cty Hwy 61, Moose Lake, . You can contact this provider via phone number (218) 485-4491 and fax number (218) 485-4724. The mailing address for Gateway Family Health Clinic, Ltd. is 4570 Cty Hwy 61, Moose Lake, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1356344451
Provider Legal Name
GATEWAY FAMILY HEALTH CLINIC, LTD.
Other Organization Name
GATEWAY FAMILY HEALTH CLINIC, LTD.
Other Name Type
-
Entity Type
Organization
Location Address
4570 Cty Hwy 61, Moose Lake,
Location Phone
(218) 485-4491
Location Fax
(218) 485-4724
Mailing Address
4570 Cty Hwy 61, Moose Lake, Minnesota(MN)
Mailing Phone
218-485-4491
Mailing Fax
218-485-4724
Enumeration Date
2005-05-23
Last Update Date
2015-10-16
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
20268
License State
Minnesota (MN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

36731 (Minnesota)
2 207Q00000X Family Medicine Physician

Family Medicine

36725 (Minnesota)
3 207Q00000X Family Medicine Physician

Family Medicine

41745 (Minnesota)
4 207Q00000X Family Medicine Physician

Family Medicine

47303 (Minnesota)
5 207Q00000X Family Medicine Physician

Family Medicine

33016 (Minnesota)
6 207Q00000X Family Medicine Physician

Family Medicine

34715 (Minnesota)
7 207Q00000X Family Medicine Physician

Family Medicine

46671 (Minnesota)
8 207Q00000X Family Medicine Physician

Family Medicine

54207 (Minnesota)
9 207R00000X Internal Medicine Physician

Internal Medicine

43634 (Minnesota)
10 208000000X Pediatrics Physician

Pediatrics

43634 (Minnesota)
11 363A00000X Physician Assistant

Physician Assistant

11706 (Minnesota)
12 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

R 147424-0 (Minnesota)
13 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

R 137363-9 (Minnesota)
14 364S00000X Clinical Nurse Specialist

Clinical Nurse Specialist

R 108935-0 (Minnesota)

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

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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.
1356344451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106648410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23106648410
2 + 3 + 1 + 0 + 6 + 6 + 4 + 8 + 4 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1356344451 is valid because the calculated check digit 1 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
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1043213218 MICHAEL JOSEPH BAWEK
Individual
Chiropractor 10532 DREW AVE S
BLOOMINGTON, Minnesota (MN)
952-884-1910
1063415263 NATURAL LIVING, INC
BIOSCRIP PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 10050 CROSSTOWN CIR
EDEN PRAIRIE, Minnesota (MN)
800-753-5995