DOUGLAS COUNTY WIC
NPI 1093189151
Public Health or Welfare in Roseburg, OR

NPI Status: Active since November 30, 2015

Contact Information

621 W MADRONE ST
ROSEBURG, OR
ZIP 97470
Phone: (541) 440-3516

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 38D1097624
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-30-2027

About DOUGLAS COUNTY WIC

This page provides the complete NPI Profile along with additional information for Douglas County Wic, a provider established in Roseburg, Oregon operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1093189151 assigned on November 2015. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Douglas County Wic. The authorized official of this NPI record is Mr. Micheal Fieldman (Executive Director)

NPI
1093189151
Provider Legal Name
UNITED COMMUNITY ACTION NETWORK
Other Organization Name
DOUGLAS COUNTY WIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
621 W MADRONE ST ROSEBURG, OR 97470
Location Phone
(541) 440-3516
Mailing Address
280 NE KENNETH FORD DR ROSEBURG, OR 97470
Mailing Phone
(541) 492-3501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2015
Last Update Date
11-30-2015
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

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

MR. MICHEAL FIELDMAN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(541) 672-3421

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
38D1097624
Facility Type
Other
Certificate Effective Date
March 31, 2025
Certificate Expiration Date
March 30, 2027
Laboratory Director
MARY GABRIELE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Douglas County Wic 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.

Reviews for DOUGLAS COUNTY WIC

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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 1093189151, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 9 → 18 → 9 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 2 + 8 + 1 + 8 + 1 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093189151.

Other Providers at the Same Location


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

Nurse Practitioner (Women's Health)
621 W MADRONE ST, SUITE 223
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Community/Behavioral Health
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Registered Nurse (Community Health)
621 W MADRONE ST
ROSEBURG, OR 97470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093189151, enumerated as an "organization" on November 30, 2015.

The provider is located at 621 W MADRONE ST ROSEBURG, OR 97470 and the phone number is (541) 440-3516.

Public Health or Welfare with taxonomy code 251K00000X.