BASIN CLINIC INC
NPI 1114974037
Family Medicine in Naturita, CO

NPI Status: Active since May 27, 2006

Contact Information

421 ADAMS ST
NATURITA, CO
ZIP 81422
Phone: (970) 865-2665
Fax: (970) 865-2674

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  • Organization
  • Family Medicine
  • CLIA Number: 06D0644471
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 07-29-2025

About BASIN CLINIC INC

This page provides the complete NPI Profile along with additional information for Basin Clinic Inc, a primary care provider established in Naturita, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114974037 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Basin Clinic Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Christina Pierce (Director)

NPI
1114974037
Provider Name
BASIN CLINIC INC
Entity Type
Organization
Location Address
421 ADAMS ST NATURITA, CO 81422
Location Phone
(970) 865-2665
Location Fax
(970) 865-2674
Mailing Address
PO BOX 340 NATURITA, CO 81422
Mailing Phone
(970) 865-2665
Mailing Fax
(970) 865-2674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
Last Update Date
04-28-2021
Code Navigator

A primary care provider (PCP) like Basin Clinic Inc 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.

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)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

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.

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

CHRISTINA PIERCE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(970) 865-2665

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
C383208OTHER (01)COMEDICARE PART B
BA643081OTHER (01)COANTHEM BLUE CROSS
020250699OTHER (01)EEOIC
18434576MEDICAID (05)CO 

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
06D0644471
Facility Type
Rural Health Clinic
Certificate Effective Date
July 30, 2023
Certificate Expiration Date
July 29, 2025
Laboratory Director
DR. APRIL L. RANDLE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Basin Clinic Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BASIN CLINIC INC

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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.
1114974037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124187806
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 7 + 8 + 0 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1114974037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144614470 ELIZABETH L BROWN FNP
Individual
Nurse Practitioner421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1679780613DR. APRIL LEE RANDLE M.D.
Individual
Internal Medicine421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1821393166 SHARON LYNN BRODBELT PA-C
Individual
Physician Assistant421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1467692962 CAROLYN LOUISE SCOTT PA-C
Individual
Physician Assistant421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1720765589 MARY A. KUS APRN, FNP-C
Individual
Nurse Practitioner (Family)421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1922849017 LYUDMYLA POLISHCHUK FNP
Individual
Family Medicine421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1376807040MR. MARK W. WALKER FNP-C
Individual
Nurse Practitioner (Family)421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1306091061 ROBERT R TAPLEY APRN-BC FNP
Individual
Nurse Practitioner (Family)421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665
1588754006DR. TIFFANY M. ORDONEZ M.D.
Individual
Internal Medicine421 ADAMS ST
NATURITA, CO 81422
(970) 865-2665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114974037, enumerated in the NPI registry as an "organization" on May 27, 2006

The provider is located at 421 Adams St Naturita, Co 81422 and the phone number is (970) 865-2665

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 06D0644471 for a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.