PEACH SPRINGS INDIAN HEALTH CENTER
NPI 1023378825
Clinic/Center - Public Health, Federal in Peach Springs, AZ

NPI Status: Active since May 25, 2012

Contact Information

943 HUALAPAI WAY
PEACH SPRINGS, AZ
ZIP 86434
Phone: (928) 769-2900

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  • Organization
  • Clinic/Center
  • Public Health, Federal
  • CLIA Number: 39D0200097
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-18-2026

About PEACH SPRINGS INDIAN HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Peach Springs Indian Health Center, a primary care provider established in Peach Springs, Arizona operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1023378825 assigned on May 2012. The practitioner's primary taxonomy code is 261QP0904X with license number RN167054 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Randi Lynn Wood R.n (Clinical Nurse)

NPI
1023378825
Provider Name
PEACH SPRINGS INDIAN HEALTH CENTER
Entity Type
Organization
Location Address
943 HUALAPAI WAY PEACH SPRINGS, AZ 86434
Location Phone
(928) 769-2900
Mailing Address
943 HUALAPAI WAY PEACH SPRINGS, AZ 86434
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-25-2012
Last Update Date
05-25-2012
Code Navigator

A primary care provider (PCP) like Peach Springs Indian Health Center 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 Public Health, Federal

Taxonomy Code
261QP0904X
Type
Ambulatory Health Care Facilities
License No.
RN167054
License State
AZ

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

RANDI LYNN WOOD R.N

Authorized Official Title
CLINICAL NURSE
Authorized Official Phone
(928) 699-8879

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
39D0200097
Facility Type
Federally Qualified Health Center
Certificate Effective Date
August 19, 2024
Certificate Expiration Date
August 18, 2026
Laboratory Director
LESLEY SHERWOOD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Peach Springs Indian Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1023378825, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 7 + 1 + 6 + 8 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023378825.

Other Providers at the Same Location


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

Family Medicine
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Social Worker
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
General Practice
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Radiologic Technologist
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Dental Hygienist
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Pediatrics
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Community Health)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Ambulatory Care)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Nurse's Aide
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Community Health)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Dental Assistant
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Technician, Health Information
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Dental Assistant
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Technician
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Technician
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Specialist/Technologist, Pathology (Medical Technologist)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Pharmacist
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Clinic/Center (Dental)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Ambulatory Care)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Ambulatory Care)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023378825, enumerated as an "organization" on May 25, 2012.

The provider is located at 943 HUALAPAI WAY PEACH SPRINGS, AZ 86434 and the phone number is (928) 769-2900.

Clinic/Center with taxonomy code 261QP0904X and a focus in Public Health, Federal.