IDAHO STATE UNIVERSITY HEALTH CENTER
NPI 1336214618
Clinic/Center - Student Health in Pocatello, ID
NPI Status: Active since November 21, 2006
Contact Information
990 CESAR CHAVEZ AVE
POCATELLO, ID
ZIP 83209
Phone: (208) 282-2330
Fax: (208) 282-4036
- Organization
- Clinic/Center
- Student Health
- Accepts Insurance
- CLIA Number: 13D0665964
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-27-2025
About IDAHO STATE UNIVERSITY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Idaho State University Health Center, a primary care provider established in Pocatello, Idaho operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1336214618 assigned on November 2006. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Ronald M Solbrig Md (Director)
- NPI
- 1336214618
- Provider Name
- IDAHO STATE UNIVERSITY HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 990 CESAR CHAVEZ AVE POCATELLO, ID 83209
- Location Phone
- (208) 282-2330
- Location Fax
- (208) 282-4036
- Mailing Address
- 921 S 8TH AVE STOP 8311 POCATELLO, ID 83209
- Mailing Phone
- (208) 282-2330
- Mailing Fax
- (208) 282-4036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-21-2006
- Last Update Date
- 02-26-2015
- Code Navigator
A primary care provider (PCP) like Idaho State University Health Center 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
Clinic/Center Student Health
- Taxonomy Code
- 261QS1000X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 13D0665964
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- August 28, 2023
- Certificate Expiration Date
- August 27, 2025
- Laboratory Director
- SUPE LYON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Idaho State University Health Center 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 IDAHO STATE UNIVERSITY HEALTH CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 3 | 6 | 2 | 1 | 4 | 6 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 1 | 8 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 1 + 8 + 6 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1336214618 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1154593754 | MRS. GINA MARIE DAVIS PHARM.D. Individual | Pharmacist | 990 CESAR CHAVEZ AVE POCATELLO, ID 83209 (208) 282-3407 |
| 1003980210 | MS. VICTORIA ELEANOR RYAN PA-C Individual | Student in an Organized Health Care Education/Training Program | 990 CESAR CHAVEZ AVE POCATELLO, ID 83209 (208) 282-2330 |
| 1144738048 | MRS. JESSICA BADARACCO GRIFFEL RDN, LD Individual | Dietitian, Registered | 990 CESAR CHAVEZ AVE POCATELLO, ID 83209 (208) 282-2330 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336214618, enumerated in the NPI registry as an "organization" on November 21, 2006
The provider is located at 990 Cesar Chavez Ave Pocatello, Id 83209 and the phone number is (208) 282-2330
This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D0665964 for a "school/student health service" 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 November 21, 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.