SNAKE RIVER COMMUNITY CLINIC
NPI 1003440082
Registered Nurse - General Practice in Lewiston, ID

NPI Status: Active since February 27, 2020

Contact Information

215 10TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 743-5899
Fax: (208) 743-9130

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Registered Nurse
General Practice
CLIA Number: 13D2192332
CLIA Cert. Type: Community Clinic
CLIA Exp. Date: 09-08-2026

About SNAKE RIVER COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Snake River Community Clinic, a provider established in Lewiston, Idaho operating as a Registered Nurse, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1003440082 assigned on February 2020. The practitioner's primary taxonomy code is 163WG0000X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is Charlotte Ash (Executive Director)

NPI: 1003440082
Provider Name: SNAKE RIVER COMMUNITY CLINIC
Entity Type: Organization
Location Address: 215 10TH ST LEWISTON, ID 83501
Location Phone: (208) 743-5899
Location Fax: (208) 743-9130
Mailing Address: PO BOX 6 LEWISTON, ID 83501
Mailing Phone: (208) 743-5899
Mailing Fax: (208) 743-9130
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-27-2020
Last Update Date: 02-27-2020
Code Navigator

A registered nurse (RN) like Snake River Community Clinic coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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: Registered Nurse General Practice
Taxonomy Code: 163WG0000X
Type: Nursing Service Providers

Group Taxonomy 193400000X 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.

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: CHARLOTTE ASH
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (208) 743-5899

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: 13D2192332
Facility Type: Community Clinic
Certificate Effective Date: September 09, 2024
Certificate Expiration Date: September 08, 2026
Laboratory Director: HEATHER M. BEASLEY
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Snake River Community Clinic 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.

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	0	0	3	4	4	0	0	8	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	0	3	8	4	0	0	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 8 + 4 + 0 + 0 + 1 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1003440082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.