OCEAN BEACH MEDICAL CLINIC
NPI 1639165905
Clinic/Center - Rural Health in Iiwaco, WA
NPI Status: Active since September 22, 2005
Contact Information
176 1ST AVENUE NORTH
IIWACO, WA
ZIP 98624
Phone: (360) 642-3747
Fax: (360) 642-3361
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 50D0637370
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-04-2028
About OCEAN BEACH MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Ocean Beach Medical Clinic, a primary care provider established in Iiwaco, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1639165905 assigned on September 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ocean Beach Medical Clinic. The authorized official of this NPI record is Mr. Larry Cohen (Ceo)
- NPI
- 1639165905
- Provider Legal Name
- PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
- Other Organization Name
- OCEAN BEACH MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 176 1ST AVENUE NORTH IIWACO, WA 98624
- Location Phone
- (360) 642-3747
- Location Fax
- (360) 642-3361
- Mailing Address
- PO BOX N IIWACO, WA 98624
- Mailing Phone
- (360) 642-3747
- Mailing Fax
- (360) 642-3361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2005
- Last Update Date
- 03-12-2019
- Code Navigator
A primary care provider (PCP) like Ocean Beach Medical Clinic 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 Rural Health
- Taxonomy Code
- 261QR1300X
- 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:
- 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
- 50D0637370
- Facility Type
- Hospital
- Certificate Effective Date
- November 01, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- MATTHEW FRANK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ocean Beach Medical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 6 | 3 | 9 | 1 | 6 | 5 | 9 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 6 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 6 + 1 + 0 + 9 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1639165905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639165905, enumerated in the NPI registry as an "organization" on September 22, 2005
The provider is located at 176 1st Avenue North Iiwaco, Wa 98624 and the phone number is (360) 642-3747
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D0637370 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 22, 2005. 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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