SUMMIT PACIFIC MEDICAL CENTER
NPI 1043730021
Family Medicine in Elma, WA

NPI Status: Active since June 21, 2017

Contact Information

600 E MAIN ST
ELMA, WA
ZIP 98541
Phone: (360) 346-2222
Fax: (360) 346-2157

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  • Organization
  • Family Medicine
  • CLIA Number: 50D2211457
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 04-04-2028

About SUMMIT PACIFIC MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Summit Pacific Medical Center, a primary care provider established in Elma, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1043730021 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 600424913 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Summit Pacific Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Summit Pacific Medical Center. The authorized official of this NPI record is Will Callicoat (Cfo)

NPI
1043730021
Provider Legal Name
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES
Other Organization Name
SUMMIT PACIFIC MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 E MAIN ST ELMA, WA 98541
Location Phone
(360) 346-2222
Location Fax
(360) 346-2157
Mailing Address
600 E MAIN ST ELMA, WA 98541
Mailing Phone
(360) 346-2299
Mailing Fax
(360) 346-2157
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2017
Last Update Date
06-21-2017
Code Navigator

A primary care provider (PCP) like Summit Pacific Medical 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
600424913
License State
WA
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

WILL CALLICOAT

Authorized Official Title
CFO
Authorized Official Phone
(360) 346-2222

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
50D2211457
Facility Type
Rural Health Clinic
Certificate Effective Date
January 27, 2021
Certificate Expiration Date
April 04, 2028
Laboratory Director
KELLY LLOYD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Pacific Medical Center 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 1043730021, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 4 → 8 7 → 14 → 5 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 4 + 3 + 0 + 0 + 4 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043730021.

Other Providers at the Same Location


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

Naturopath
600 E MAIN ST
ELMA, WA 98541
Psychiatry & Neurology (Psychiatry)
600 E MAIN ST
ELMA, WA 98541
Nurse Practitioner (Psychiatric/Mental Health)
600 E MAIN ST
ELMA, WA 98541
Family Medicine
600 E MAIN ST
ELMA, WA 98541
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Nurse Practitioner
600 E MAIN ST
ELMA, WA 98541
Pharmacist
600 E MAIN ST
ELMA, WA 98541
Pediatrics (Pediatric Critical Care Medicine)
600 E MAIN ST
ELMA, WA 98541
Dietitian, Registered
600 E MAIN ST
ELMA, WA 98541
Orthopaedic Surgery
600 E MAIN ST
ELMA, WA 98541
Occupational Therapist
600 E MAIN ST
ELMA, WA 98541
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Physician Assistant
600 E MAIN ST
ELMA, WA 98541
Pharmacist
600 E MAIN ST
ELMA, WA 98541
Physical Therapist
600 E MAIN ST
ELMA, WA 98541
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Physical Therapist
600 E MAIN ST
ELMA, WA 98541
Physical Therapist
600 E MAIN ST
ELMA, WA 98541
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043730021, enumerated as an "organization" on June 21, 2017.

The provider is located at 600 E MAIN ST ELMA, WA 98541 and the phone number is (360) 346-2222.

Family Medicine with taxonomy code 207Q00000X.