COWLITZ FAMILY HEALTH CENTER
NPI 1104243534
Clinic/Center - Rehabilitation, Substance Use Disorder in Kelso, WA
NPI Status: Active since March 24, 2014
Contact Information
621 GRADE ST
KELSO, WA
ZIP 98626
Phone: (360) 636-3892
Fax: (360) 232-8400
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 50D0637488
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-04-2028
About COWLITZ FAMILY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Cowlitz Family Health Center, a provider established in Kelso, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1104243534 assigned on March 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is James J Coffee (Ceo)
- NPI
- 1104243534
- Provider Name
- COWLITZ FAMILY HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 621 GRADE ST KELSO, WA 98626
- Location Phone
- (360) 636-3892
- Location Fax
- (360) 232-8400
- Mailing Address
- 1057 12TH AVE LONGVIEW, WA 98632
- Mailing Phone
- (360) 636-3892
- Mailing Fax
- (360) 232-8400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-24-2014
- Last Update Date
- 05-31-2022
- 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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 50D0637488
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 04, 2001
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- GERRY MELGAR
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Cowlitz Family Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1104243534, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
KELSO, WA 98626
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104243534, enumerated as an "organization" on March 24, 2014.
The provider is located at 621 GRADE ST KELSO, WA 98626 and the phone number is (360) 636-3892.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
