CHARLIE MITCHELL RURAL HEALTH CLINIC
NPI 1063573962
Clinic/Center - Rural Health in Madera, CA
NPI Status: Active since December 13, 2006
Contact Information
9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93636
Phone: (559) 353-3000
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D0643549
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About CHARLIE MITCHELL RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Charlie Mitchell Rural Health Clinic, a primary care provider established in Madera, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1063573962 assigned on December 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 040000160 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Charlie Mitchell Rural Health Clinic. The authorized official of this NPI record is Ms. Tina Mycroft (Senior Vp & Cfo)
- NPI
- 1063573962
- Provider Legal Name
- VALLEY CHILDREN'S HOSPITAL
- Other Organization Name
- CHARLIE MITCHELL RURAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9300 VALLEY CHILDRENS PL MADERA, CA 93636
- Location Phone
- (559) 353-3000
- Mailing Address
- 9300 VALLEY CHILDRENS PL MADERA, CA 93636
- Mailing Phone
- (559) 353-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 01-14-2025
- Code Navigator
A primary care provider (PCP) like Charlie Mitchell Rural Health 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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 040000160
- 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:
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.
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 |
|---|---|---|---|
| RHM1860F | MEDICAID (05) | CA | |
| ZZZ64542Z | OTHER (01) | CA | BLUE SHIELD RHC PID |
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
- 05D0643549
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. AMY W. DAVIS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Charlie Mitchell Rural Health Clinic 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 1063573962, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063573962, enumerated as an "organization" on December 13, 2006.
The provider is located at 9300 VALLEY CHILDRENS PL MADERA, CA 93636 and the phone number is (559) 353-3000.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
