INDIAN HEALTH SERVICE
NPI 1104198936
Clinic/Center in El Reno, OK
NPI Status: Active since February 09, 2012
Contact Information
1801 N PARKVIEW DRIVE
EL RENO, OK
ZIP 73036
Phone: (580) 331-3300
- Organization
- Clinic/Center
- CLIA Number: 37D0667757
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-15-2026
About INDIAN HEALTH SERVICE
This page provides the complete NPI Profile along with additional information for Indian Health Service, a provider established in El Reno, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104198936 assigned on February 2012. The practitioner's primary taxonomy code is 261Q00000X with license number R006447 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Indian Health Service. The authorized official of this NPI record is Carmen Clelland Pharm.d. (Ceo)
- NPI
- 1104198936
- Provider Legal Name
- EL RENO INDIAN HEALTH CENTER
- Other Organization Name
- INDIAN HEALTH SERVICE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1801 N PARKVIEW DRIVE EL RENO, OK 73036
- Location Phone
- (580) 331-3300
- Mailing Address
- 1801 N PARKVIEW DRIVE EL RENO, OK 73036
- Mailing Phone
- (580) 331-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-09-2012
- Last Update Date
- 09-10-2013
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- R006447
- License State
- OK
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 37D0667757
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- MORGAN DICKERSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Indian Health Service 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 1104198936, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104198936, enumerated as an "organization" on February 09, 2012.
The provider is located at 1801 N PARKVIEW DRIVE EL RENO, OK 73036 and the phone number is (580) 331-3300.
Clinic/Center with taxonomy code 261Q00000X.
