OPTIMAL HEATLH MEDICAL INSTITURE
NPI 1184865883
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Boise, ID
NPI Status: Active since March 10, 2009
Contact Information
3224 N MAPLE GROVE RD
BOISE, ID
ZIP 83704
Phone: (208) 495-3688
Fax: (208) 475-4924
- Organization
- Preventive Medicine
- Preventive Medicine/Occupational Environ...
- CLIA Number: 13D2035917
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2026
About OPTIMAL HEATLH MEDICAL INSTITURE
This page provides the complete NPI Profile along with additional information for Optimal Heatlh Medical Institure, a provider established in Boise, Idaho operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1184865883 assigned on March 2009. The practitioner's primary taxonomy code is 2083P0500X with license number 0-264 (ID). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ralph M Sutherlin D.o. (Owner/physician)
- NPI
- 1184865883
- Provider Name
- OPTIMAL HEATLH MEDICAL INSTITURE
- Entity Type
- Organization
- Location Address
- 3224 N MAPLE GROVE RD BOISE, ID 83704
- Location Phone
- (208) 495-3688
- Location Fax
- (208) 475-4924
- Mailing Address
- 3224 N MAPLE GROVE RD BOISE, ID 83704
- Mailing Phone
- (208) 495-3688
- Mailing Fax
- (208) 475-4924
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2009
- Last Update Date
- 03-10-2009
- Code Navigator
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
Preventive Medicine Preventive Medicine/Occupational Environmental Medicine
- Taxonomy Code
- 2083P0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0-264
- License State
- ID
- Taxonomy Description
- A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.
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 |
|---|---|---|---|
| F41471 | MEDICARE UPIN (02) | ID | |
| S62890 | MEDICARE UPIN (02) |
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
- 13D2035917
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2024
- Certificate Expiration Date
- January 26, 2026
- Laboratory Director
- DANIEL L. HANSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optimal Heatlh Medical Institure to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 1 | 8 | 4 | 8 | 6 | 5 | 8 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 16 | 6 | 10 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 6 + 6 + 1 + 0 + 8 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1184865883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831199447 | THOMAS R CURTIS DDS Individual | Dentist | 3224 N MAPLE GROVE RD BOISE, ID 83704 (208) 375-0600 |
| 1275767519 | DR. NOAH BLUE EDVALSON D.C., F.I.A.M.A. Individual | Chiropractor | 3224 N MAPLE GROVE RD BOISE, ID 83704 (208) 629-5374 |
| 1700364437 | OPTIMAL HEALTH VENTURES LLC DBA BOISE INTEGRATED CHIROPRACTIC Organization | Chiropractor | 3224 N MAPLE GROVE RD BOISE, ID 83704 (208) 629-5374 |
| 1972805943 | RAMON ADDISON RELYEA PA-C Individual | Physician Assistant (Medical) | 3224 N MAPLE GROVE RD BOISE, ID 83704 (208) 888-3358 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184865883, enumerated in the NPI registry as an "organization" on March 10, 2009
The provider is located at 3224 N Maple Grove Rd Boise, Id 83704 and the phone number is (208) 495-3688
This medical organization specializes in Preventive Medicine with taxonomy code 2083P0500X with a focus in Preventive Medicine/Occupational Environmental Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D2035917 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 10, 2009. 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].
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