NEW HEALTH SPRINGDALE MEDICAL
NPI 1104880004
Clinic/Center - Federally Qualified Health Center (FQHC) in Springdale, WA

NPI Status: Active since April 17, 2006

Contact Information

114 S MAIN
SPRINGDALE, WA
ZIP 99173
Phone: (509) 258-4234
Fax: (509) 258-4499

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 50D0674965
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About NEW HEALTH SPRINGDALE MEDICAL

This page provides the complete NPI Profile along with additional information for New Health Springdale Medical, a primary care provider established in Springdale, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1104880004 assigned on April 2006. The practitioner's primary taxonomy code is 261QF0400X with license number J600317870 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as New Health Springdale Medical. The authorized official of this NPI record is Donna Poe (Credentialing Specialist)

NPI
1104880004
Provider Legal Name
NEW HEALTH PROGRAMS ASSOCIATION
Other Organization Name
NEW HEALTH SPRINGDALE MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
114 S MAIN SPRINGDALE, WA 99173
Location Phone
(509) 258-4234
Location Fax
(509) 258-4499
Mailing Address
PO BOX 808 CHEWELAH, WA 99109
Mailing Phone
(509) 935-6001
Mailing Fax
(509) 258-4499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2006
Last Update Date
07-18-2023
Code Navigator

A primary care provider (PCP) like New Health Springdale Medical 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
J600317870
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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.

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

DONNA POE

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(509) 935-6001

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
7034127MEDICAID (05)WA 
7034465MEDICAID (05)WA 
80300OTHER (01)WALABOR AND INDUSTRIES ID
CE9078OTHER (01)WARR MEDICARE PIN

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
50D0674965
Facility Type
Community Clinic
Certificate Effective Date
October 15, 2011
Certificate Expiration Date
April 04, 2028
Laboratory Director
MAJA M. ZUGEC
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to New Health Springdale Medical 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.

Reviews for NEW HEALTH SPRINGDALE MEDICAL

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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 1104880004, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 0 → 0 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 8 + 0 + 0 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104880004.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104880004, enumerated as an "organization" on April 17, 2006.

The provider is located at 114 S MAIN SPRINGDALE, WA 99173 and the phone number is (509) 258-4234.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.