SELAH FAMILY MEDICINE
NPI 1679895775
Clinic/Center - Multi-Specialty in Selah, WA
NPI Status: Active since February 17, 2010
Contact Information
620 N. PARK DRIVE
SELAH, WA
ZIP 98942
Phone: (509) 697-5511
Fax: (509) 225-2707
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 50D1064284
- CLIA Cert. Type: Other - IMAGING CENTER
- CLIA Exp. Date: 04-04-2028
About SELAH FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Selah Family Medicine, a provider established in Selah, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1679895775 assigned on February 2010. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Selah Family Medicine. The authorized official of this NPI record is Timothy Reed (Chief Operating Officer)
- NPI
- 1679895775
- Provider Legal Name
- MEMORIAL PHYSICIANS, P.L.L.C.
- Other Organization Name
- SELAH FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 620 N. PARK DRIVE SELAH, WA 98942
- Location Phone
- (509) 697-5511
- Location Fax
- (509) 225-2707
- Mailing Address
- 3800 SUMMITVIEW AVE YAKIMA, WA 98902
- Mailing Phone
- (509) 248-7849
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2010
- Last Update Date
- 11-25-2013
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 50D1064284
- Facility Type
- Other - IMAGING CENTER
- Certificate Effective Date
- January 18, 2012
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ALFRED P. HAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Selah Family Medicine 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 | 6 | 7 | 9 | 8 | 9 | 5 | 7 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 16 | 9 | 10 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 6 + 9 + 1 + 0 + 7 + 1 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1679895775 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1124049291 | JAMES P ZINGERMAN MD Individual | Family Medicine | 620 N. PARK DRIVE SELAH, WA 98942 (509) 697-5511 |
| 1518981489 | DAVID A POMMER MD Individual | Family Medicine | 620 N. PARK DRIVE SELAH, WA 98942 (509) 697-5511 |
| 1316968688 | SHEREEN K STOCKER ARNP Individual | Nurse Practitioner | 620 N. PARK DRIVE SELAH, WA 98942 (509) 697-5511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679895775, enumerated in the NPI registry as an "organization" on February 17, 2010
The provider is located at 620 N. Park Drive Selah, Wa 98942 and the phone number is (509) 697-5511
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 50D1064284 for a "other - imaging center" 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 February 17, 2010. 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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