NORTH LAKE CLINIC
NPI 1457745101
Clinic/Center in Christmas Valley, OR
NPI Status: Active since March 20, 2015
Contact Information
87520 BAY RD
POB 377
CHRISTMAS VALLEY, OR
ZIP 97641
Phone: (541) 576-2343
Fax: (541) 576-2869
- Organization
- Clinic/Center
About NORTH LAKE CLINIC
This page provides the complete NPI Profile along with additional information for North Lake Clinic, a provider established in Christmas Valley, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1457745101 assigned on March 2015. The practitioner's primary taxonomy code is 261Q00000X with license number 078041667 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as North Lake Clinic. The authorized official of this NPI record is Patricia D Widenoja Fnp, Dnp (Owner)
- NPI
- 1457745101
- Provider Legal Name
- PAT WIDENOJA FNP
- Other Organization Name
- NORTH LAKE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 87520 BAY RD POB 377 CHRISTMAS VALLEY, OR 97641
- Location Phone
- (541) 576-2343
- Location Fax
- (541) 576-2869
- Mailing Address
- POB377 87520 BAY RD CHRISTMAS VALLEY, OR 97641
- Mailing Phone
- (541) 576-2343
- Mailing Fax
- (541) 576-2869
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2015
- Last Update Date
- 03-20-2015
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 078041667
- License State
- OR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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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 | 4 | 5 | 7 | 7 | 4 | 5 | 1 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 14 | 4 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 4 + 4 + 1 + 0 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1457745101 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669607792 | NORTH LAKE CLINIC, LLC Organization | Clinic/Center (Rural Health) | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 576-2343 |
| 1497810915 | DENNIS M. BRUNEAU PA-C Individual | Physician Assistant | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 576-2343 |
| 1811642994 | LARISSA BRIAUN HACKETT Individual | Student in an Organized Health Care Education/Training Program | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 947-6021 |
| 1962140491 | ALEXANDRA DAY Individual | Case Manager/Care Coordinator | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 947-6021 |
| 1639450471 | DENISE LEE GRIFFITHS FNP Individual | Nurse Practitioner (Family) | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 536-3435 |
| 1972389385 | HOLLY VORE QMHP1 Individual | Counselor (Mental Health) | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 947-2114 |
| 1952177271 | EMILY LOUISE MERWIN Individual | Case Manager/Care Coordinator | 87520 BAY RD CHRISTMAS VALLEY, OR 97641 (541) 947-6021 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457745101, enumerated in the NPI registry as an "organization" on March 20, 2015
The provider is located at 87520 Bay Rd Pob 377 Christmas Valley, Or 97641 and the phone number is (541) 576-2343
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on March 20, 2015. 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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