SUMMIT HEALTHCARE AT BISON RANCH
NPI 1326549031
Non-Pharmacy Dispensing Site in Overgaard, AZ
NPI Status: Active since February 27, 2018
Contact Information
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ
ZIP 85933
Phone: (928) 537-6910
Fax: (952) 653-2540
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 03D1059537
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 10-01-2026
About SUMMIT HEALTHCARE AT BISON RANCH
This page provides the complete NPI Profile along with additional information for Summit Healthcare At Bison Ranch, a provider established in Overgaard, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1326549031 assigned on February 2018. The practitioner's primary taxonomy code is 332900000X with license number OTC8162 (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Summit Healthcare At Bison Ranch. The authorized official of this NPI record is Aaron Young (Administrator)
- NPI
- 1326549031
- Provider Legal Name
- SUMMIT HEALTHCARE ASSOCIATION
- Other Organization Name
- SUMMIT HEALTHCARE AT BISON RANCH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933
- Location Phone
- (928) 537-6910
- Location Fax
- (952) 653-2540
- Mailing Address
- 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933
- Mailing Phone
- (928) 537-6910
- Mailing Fax
- (952) 653-2540
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-27-2018
- Last Update Date
- 02-27-2018
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- OTC8162
- License State
- AZ
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 03D1059537
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- RAMON E. SCHAFER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Healthcare At Bison Ranch 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 | 3 | 2 | 6 | 5 | 4 | 9 | 0 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 10 | 4 | 18 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 1 + 0 + 4 + 1 + 8 + 0 + 6 + 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 1326549031 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164489050 | MR. AARON C BORNSTEIN MD Individual | Family Medicine | 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933 (928) 535-3616 |
| 1619038429 | DORIS VIRGINIA REEVES PA Individual | Physician Assistant | 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933 (928) 535-3616 |
| 1770700767 | SUMMIT HEALTHCARE MEDICAL ASSOCIATES Organization | Clinic/Center (Rural Health) | 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933 (928) 535-3616 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326549031, enumerated in the NPI registry as an "organization" on February 27, 2018
The provider is located at 2352 Quarter Horse Trail Overgaard, Az 85933 and the phone number is (928) 537-6910
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider's CLIA number is 03D1059537 for a "community clinic" 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 February 27, 2018. 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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