SNAKE RIVER ADULT MEDICINE LLC
NPI 1548752918
Clinic/Center - Primary Care in Clarkston, WA
NPI Status: Active since June 01, 2018
Contact Information
1625 5TH ST
CLARKSTON, WA
ZIP 99403
Phone: (509) 295-8398
Fax: (509) 295-8416
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 50D2151445
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About SNAKE RIVER ADULT MEDICINE LLC
This page provides the complete NPI Profile along with additional information for Snake River Adult Medicine Llc, a primary care provider established in Clarkston, Washington operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1548752918 assigned on June 2018. The practitioner's primary taxonomy code is 261QP2300X with license number 604282863 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brian Francis Ciezki Acnp (Owner/operator)
- NPI
- 1548752918
- Provider Name
- SNAKE RIVER ADULT MEDICINE LLC
- Entity Type
- Organization
- Location Address
- 1625 5TH ST CLARKSTON, WA 99403
- Location Phone
- (509) 295-8398
- Location Fax
- (509) 295-8416
- Mailing Address
- 725 DIAGONAL ST CLARKSTON, WA 99403
- Mailing Phone
- (509) 295-8398
- Mailing Fax
- (509) 295-8416
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2018
- Last Update Date
- 01-19-2022
- Code Navigator
A primary care provider (PCP) like Snake River Adult Medicine Llc 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
Secondary Locations
- 725 Diagonal St
Clarkston, WA 99403
(509) 295-8398
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 604282863
- License State
- WA
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
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - 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
- 50D2151445
- Facility Type
- Physician Office
- Certificate Effective Date
- July 18, 2018
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- BRIAN F. CIEZKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Snake River Adult Medicine Llc 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 | 5 | 4 | 8 | 7 | 5 | 2 | 9 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 14 | 5 | 4 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 4 + 5 + 4 + 9 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1548752918 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 |
|---|---|---|---|
| 1083652846 | DR. DAVID B MARTIN M.D. Individual | Family Medicine | 1625 5TH ST CLARKSTON, WA 99403 (509) 751-9981 |
| 1710118542 | MARTIN FAMILY MEDICINE LLC Organization | Family Medicine | 1625 5TH ST CLARKSTON, WA 99403 (509) 751-9981 |
| 1205221041 | BRIAN FRANCIS CIEZKI ACNP Individual | Nurse Practitioner (Adult Health) | 1625 5TH ST CLARKSTON, WA 99403 (509) 295-8398 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548752918, enumerated in the NPI registry as an "organization" on June 01, 2018
The provider is located at 1625 5th St Clarkston, Wa 99403 and the phone number is (509) 295-8398
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Mountain Health CO-OP and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D2151445 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 June 01, 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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