GRASS VALLEY CLINIC
NPI 1922138841
Clinic/Center - Federally Qualified Health Center (FQHC) in Grass Valley, CA

NPI Status: Active since March 07, 2007

Contact Information

1350 E MAIN ST
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 477-8545
Fax: (530) 477-9217

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About GRASS VALLEY CLINIC

This page provides the complete NPI Profile along with additional information for Grass Valley Clinic, a primary care provider established in Grass Valley, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1922138841 assigned on March 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 230000303 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Grass Valley Clinic. The authorized official of this NPI record is Mr. Sierk Haitsma (Chief Financial Officer)

NPI
1922138841
Provider Legal Name
CHAPA-DE INDIAN HEALTH PROGRAM, INC.
Other Organization Name
GRASS VALLEY CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1350 E MAIN ST GRASS VALLEY, CA 95945
Location Phone
(530) 477-8545
Location Fax
(530) 477-9217
Mailing Address
11670 ATWOOD RD AUBURN, CA 95603
Mailing Phone
(530) 887-2800
Mailing Fax
(530) 477-9217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
11-02-2011
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A primary care provider (PCP) like Grass Valley 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
230000303
License State
CA

Insurance Plans Accepted

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

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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

MR. SIERK HAITSMA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(530) 887-2841

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
THP80244FMEDICAID (05)CA 
551868MEDICARE OSCAR/CERTIFICATION (06)CA 

Reviews for GRASS VALLEY 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.
1922138841
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942231688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 3 + 1 + 6 + 8 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1922138841 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306983846MR. ALLAN RALPH SCHULTZ DDS
Individual
Dentist (General Practice)1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-9560
1851627970 SARAH REBECCA SOSTRIN L.AC.
Individual
Acupuncturist1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1780960963 THAO HO RPH
Individual
Pharmacist1350 E MAIN ST CHAPA-DE
GRASS VALLEY, CA 95945
(530) 477-8545
1740684828DR. NICOLE MARIE SHANKLIN D.M.D.
Individual
Dentist1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-9560
1508206657DR. MARIA AHLEEN DE LEON MEDINA DMD
Individual
Dentist1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1225420714 GRACE BELL RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-9532
1942435946CHAPA-DE INDIAN HEALTH PROGRAM INC
Organization
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy1350 E MAIN ST PHARMACY DEPT
GRASS VALLEY, CA 95945
(530) 477-5968
1548781495DR. SARAH JANELL BLAND
Individual
Nurse Practitioner (Family)1350 E MAIN ST CHAPA-DE INDIAN HEALTH
GRASS VALLEY, CA 95945
(530) 477-8545
1003304536 MARLOWE GATES DIECKMANN
Individual
Family Medicine1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1003418658 KYLIE MARIE TIMMERMAN RN
Individual
Registered Nurse (Community Health)1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-9532
1609994169DR. SHARI CRANE FOX M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1336637909 JOEL A FONG
Individual
Dentist (General Practice)1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1316614738 TAMMY GRIFFITH RDH
Individual
Dental Hygienist1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1417336835MRS. TINA LEE DELAUGHTER LCSW
Individual
Social Worker (Clinical)1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 887-2800
1912747809 CARY LYNN BECKER RDH
Individual
Dental Hygienist1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545
1659952422 PAULA RINCON MD
Individual
Family Medicine1350 E MAIN ST
GRASS VALLEY, CA 95945
(530) 477-8545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922138841, enumerated in the NPI registry as an "organization" on March 07, 2007

The provider is located at 1350 E Main St Grass Valley, Ca 95945 and the phone number is (530) 477-8545

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: UnitedHealthcare, 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 March 07, 2007. 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.