DAVID C WYNECOOP MEMORIAL CLINIC
NPI 1003963000
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wellpinit, WA
NPI Status: Active since January 04, 2007
Contact Information
6203 AGENCY LOOP ROAD
WELLPINIT, WA
ZIP 99040
Phone: (509) 258-4517
Fax: (509) 258-7152
- Organization
- Indian Health Service/Tribal/Urban India...
- CLIA Number: 50D0669238
- CLIA Cert. Type: Other - TRIBAL
- CLIA Exp. Date: 01-01-2027
About DAVID C WYNECOOP MEMORIAL CLINIC
This page provides the complete NPI Profile along with additional information for David C Wynecoop Memorial Clinic, a provider established in Wellpinit, Washington operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1003963000 assigned on January 2007. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is William N Wiles (Administrative Officer)
- NPI
- 1003963000
- Provider Name
- DAVID C WYNECOOP MEMORIAL CLINIC
- Entity Type
- Organization
- Location Address
- 6203 AGENCY LOOP ROAD WELLPINIT, WA 99040
- Location Phone
- (509) 258-4517
- Location Fax
- (509) 258-7152
- Mailing Address
- 6203 AGENCY LOOP ROAD WELLPINIT, WA 99040
- Mailing Phone
- (509) 258-4517
- Mailing Fax
- (509) 258-7152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2007
- Last Update Date
- 08-22-2020
- 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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taxonomy Code
- 332800000X
- Type
- Suppliers
- Taxonomy Description
- An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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.
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 |
|---|---|---|---|
| PH00052198 | OTHER (01) | WA | LICENSE |
| 4926309 | OTHER (01) | WA | NCPDP NUMBER |
| PH00044329 | OTHER (01) | WA | LICENSE |
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
- 50D0669238
- Facility Type
- Other - TRIBAL
- Certificate Effective Date
- January 02, 2025
- Certificate Expiration Date
- January 01, 2027
- Laboratory Director
- DR. DANIAL HOCSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to David C Wynecoop Memorial Clinic 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003963000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
WELLPINIT, WA 99040
WELLPINIT, WA 99040
WELLPINIT, WA 99040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003963000, enumerated as an "organization" on January 04, 2007.
The provider is located at 6203 AGENCY LOOP ROAD WELLPINIT, WA 99040 and the phone number is (509) 258-4517.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
