ALPINE MEDICAL AND SPECIALTY PRACTICE
NPI 1760847008
Exclusive Provider Organization in Pagosa Springs, CO

NPI Status: Active since December 30, 2015

Contact Information

117 NAVAJO TRAIL DRIVE
UNIT Z
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 946-9939

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  • Organization
  • Exclusive Provider Organization
  • CLIA Number: 06D2112960
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-11-2026

About ALPINE MEDICAL AND SPECIALTY PRACTICE

This page provides the complete NPI Profile along with additional information for Alpine Medical And Specialty Practice, a provider established in Pagosa Springs, Colorado operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1760847008 assigned on December 2015. The practitioner's primary taxonomy code is 302F00000X with license number 0990376 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Tabitha Zappone Fnp-c (Owner)

NPI
1760847008
Provider Name
ALPINE MEDICAL AND SPECIALTY PRACTICE
Entity Type
Organization
Location Address
117 NAVAJO TRAIL DRIVE UNIT Z PAGOSA SPRINGS, CO 81147
Location Phone
(970) 946-9939
Mailing Address
30 LIMESTONE CT PAGOSA SPRINGS, CO 81147
Mailing Phone
(970) 946-9939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2015
Last Update Date
12-30-2015
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
0990376
License State
CO
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TABITHA ZAPPONE FNP-C

Authorized Official Title
OWNER
Authorized Official Phone
(970) 946-9939

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
06D2112960
Facility Type
Rural Health Clinic
Certificate Effective Date
May 12, 2024
Certificate Expiration Date
May 11, 2026
Laboratory Director
TABITHA G. ZAPPONE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alpine Medical And Specialty Practice 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.
1760847008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201641400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 4 + 1 + 4 + 0 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1760847008 is valid because the calculated check digit 8 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 1760847008, enumerated in the NPI registry as an "organization" on December 30, 2015

The provider is located at 117 Navajo Trail Drive Unit Z Pagosa Springs, Co 81147 and the phone number is (970) 946-9939

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

The provider's CLIA number is 06D2112960 for a "rural health clinic" 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 December 30, 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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