GREAT LAKES FAMILY MEDICAL CENTER INC
GREAT LAKES FAMILY MEDICAL CENTER INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1093900136, based in Kenosha, WI. It is classified under Clinic/Center.
Getting there
The practice address on file is 6123 GREEN BAY RD SUITE 120, Kenosha, WI 53142. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 45606020 | WI | Clinic/Center primary |
This provider holds licence 45606020 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinic/Center covers
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). NUCC Health Care Provider Taxonomy, code 261Q00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1093900136 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 12, 2007 |
| Last updated | Aug 26, 2010 |
| Status | Active |
| Practice address |
6123 GREEN BAY RD SUITE 120 Kenosha, WI 53142 (262) 764-4390 Fax (262) 764-4396 |
| Mailing address |
6123 GREEN BAY ROAD SUITE 120 Kenosha, WI 53142 |
| Other identifiers |
34414100
(WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 9 | 3 | 9 | 0 | 0 | 1 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 9 | 3 | 9 | 0 | 0 | 1 | 6 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.