KOOSKIA MEDICAL CLINIC
NPI 1891733747
Family Medicine in Orofino, ID

NPI Status: Active since June 03, 2006

Contact Information

301 CEDAR ST
OROFINO, ID
ZIP 83544
Phone: (208) 476-4555
Fax: (208) 476-5385

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  • Organization
  • Family Medicine

About KOOSKIA MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Kooskia Medical Clinic, a primary care provider established in Orofino, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1891733747 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Kooskia Medical Clinic. The authorized official of this NPI record is Larry Barker (Coo)

NPI
1891733747
Provider Legal Name
CLEARWATER VALLEY HOSPITAL & CLINIC INC
Other Organization Name
KOOSKIA MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 CEDAR ST OROFINO, ID 83544
Location Phone
(208) 476-4555
Location Fax
(208) 476-5385
Mailing Address
201 THENON ST KOOSKIA, ID 83539
Mailing Phone
(208) 926-7801
Mailing Fax
(208) 476-5385
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
04-22-2008
Code Navigator

A primary care provider (PCP) like Kooskia 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

LARRY BARKER

Authorized Official Title
COO
Authorized Official Phone
(208) 476-4555

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
805060900MEDICAID (05)ID 
1372289MEDICARE PIN (08)ID 

Reviews for KOOSKIA MEDICAL CLINIC

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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.
1891733747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181143678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 4 + 3 + 6 + 7 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1891733747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659376010 PETER W CRECELIUS MD
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1083790216CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Organization
Medicare Defined Swing Bed Unit301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1558410399CLEARWATER VALLEY HOSPITAL & CLINICS INC
Organization
Durable Medical Equipment & Medical Supplies301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1164545398CLEARWATER VALLEY HOSPITAL & CLINICS INC
Organization
Home Health301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1326241159CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Organization
Nurse Anesthetist, Certified Registered301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1447439666CLEARWATER VALLEY HOSPITAL AND CLINICS PHARMACY
Organization
Pharmacy (Institutional Pharmacy)301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1053584581CLEARWATER VALLEY HOSPITAL & CLINICS INC
Organization
Physician Assistant301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1902811789 MONTE C BEARDIN MSPT
Individual
Physical Therapist301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1982028437 RACHELL LARSEN LD
Individual
Dietitian, Registered301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1073551396CLEARWATER VALLEY HOSPITAL & CLINICS INC
Organization
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1285018754OROFINO HEALTH CENTER
Organization
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1982073946CLEARWATER VALLEY HOSPITAL AND CLINICS, INC
Organization
General Acute Care Hospital (Critical Access)301 CEDAR ST
OROFINO, ID 83544
(208) 476-5777
1679869325 REBECCA SUSAN KATZMAN MD
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1750804209MRS. RANA JANINE CLEARY CMA, RMA, PN
Individual
Technician301 CEDAR ST
OROFINO, ID 83544
(208) 476-5777
1295730661 PHILLIP H PETERSEN MD
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1801089834 JOHN SETH LUKENS MD
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1891308201 DANIEL BURTON OTR/L
Individual
Occupational Therapist301 CEDAR ST
OROFINO, ID 83544
(667) 305-5317
1164463113 BRETT T MUMFORD D.O.
Individual
Emergency Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-5777
1295816502 VANESSA KIMBERLY BROWN M.D.
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-4555
1982016788 THOMAS WONDERLICH MD
Individual
Family Medicine301 CEDAR ST
OROFINO, ID 83544
(208) 476-5777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891733747, enumerated in the NPI registry as an "organization" on June 03, 2006

The provider is located at 301 Cedar St Orofino, Id 83544 and the phone number is (208) 476-4555

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 03, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.