WADATIKA HEALTH CENTER
NPI 1710983903
Clinic/Center - Health Service in Burns, OR
NPI Status: Active since June 22, 2005
Contact Information
100 PASIGO ST
BURNS, OR
ZIP 97720
Phone: (541) 573-7312
Fax: (541) 573-1298
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
- CLIA Number: 38D0909606
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-10-2025
About WADATIKA HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Wadatika Health Center, a provider established in Burns, Oregon operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1710983903 assigned on June 2005. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Wadatika Health Center. The authorized official of this NPI record is Ms. Twila M Teeman Rn (Health Director)
- NPI
- 1710983903
- Provider Legal Name
- BURNS PAIUTE TRIBE
- Other Organization Name
- WADATIKA HEALTH CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 100 PASIGO ST BURNS, OR 97720
- Location Phone
- (541) 573-7312
- Location Fax
- (541) 573-1298
- Mailing Address
- 100 PASIGO ST BURNS, OR 97720
- Mailing Phone
- (541) 573-7312
- Mailing Fax
- (541) 573-1298
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2005
- Last Update Date
- 09-10-2008
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- 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:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
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.
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 |
|---|---|---|---|
| 276784 | MEDICAID (05) | OR | |
| 8HZ01S | MEDICARE PIN (08) | OR | |
| 8HBN70 | MEDICARE PIN (08) | OR | |
| HSZ142 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR | PROVIDER NUMBER |
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
- 38D0909606
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 11, 2023
- Certificate Expiration Date
- December 10, 2025
- Laboratory Director
- TWILA TEEMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wadatika Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 7 | 1 | 0 | 9 | 8 | 3 | 9 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 8 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 8 + 6 + 9 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1710983903 is valid because the calculated check digit 3 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 1710983903, enumerated in the NPI registry as an "organization" on June 22, 2005
The provider is located at 100 Pasigo St Burns, Or 97720 and the phone number is (541) 573-7312
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D0909606 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 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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