WATERFALL CLINIC, INCORPORATED
NPI 1447889480
Clinic/Center - Federally Qualified Health Center (FQHC) in North Bend, OR

NPI Status: Active since April 02, 2020

Contact Information

93670 VIKING LN
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-6232
Fax: (541) 756-6234

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About WATERFALL CLINIC, INCORPORATED

This page provides the complete NPI Profile along with additional information for Waterfall Clinic, Incorporated, a primary care provider established in North Bend, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1447889480 assigned on April 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Andrea Trenner (Ceo)

NPI
1447889480
Provider Name
WATERFALL CLINIC, INCORPORATED
Entity Type
Organization
Location Address
93670 VIKING LN NORTH BEND, OR 97459
Location Phone
(541) 756-6232
Location Fax
(541) 756-6234
Mailing Address
1890 WAITE ST STE 1 NORTH BEND, OR 97459
Mailing Phone
(541) 756-6232
Mailing Fax
(541) 756-6234
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2020
Last Update Date
04-02-2020
Code Navigator

A primary care provider (PCP) like Waterfall Clinic, Incorporated 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
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:

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

ANDREA TRENNER

Authorized Official Title
CEO
Authorized Official Phone
(541) 756-6232

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
213342MEDICAID (05)OR 

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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.
1447889480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248716818416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 6 + 8 + 1 + 8 + 4 + 1 + 6 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447889480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750655452 KARI KAYE CROCKETT
Individual
Counselor (School)93670 VIKING LN
NORTH BEND, OR 97459
(541) 756-8351
1174897763MS. CATERINA HALL MA
Individual
Counselor (School)93670 VIKING LN
NORTH BEND, OR 97459
(541) 756-8351

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447889480, enumerated in the NPI registry as an "organization" on April 02, 2020

The provider is located at 93670 Viking Ln North Bend, Or 97459 and the phone number is (541) 756-6232

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

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.

This NPI record was last updated on April 02, 2020. 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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