POMEROY MEDICAL CLINIC
NPI 1114028693
Clinic/Center - Rural Health in Pomeroy, WA

NPI Status: Active since September 26, 2006

Contact Information

446 PATAHA ST
POMEROY, WA
ZIP 99347
Phone: (509) 843-1491
Fax: (509) 843-1740

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 50D1044707
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About POMEROY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Pomeroy Medical Clinic, a primary care provider established in Pomeroy, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1114028693 assigned on September 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 503982 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Pomeroy Medical Clinic. The authorized official of this NPI record is Hollie Winslow (Business Office Manager)

NPI
1114028693
Provider Legal Name
GARFIELD COUNTY MEMORIAL HOSPITAL DISTRICT
Other Organization Name
POMEROY MEDICAL CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
446 PATAHA ST POMEROY, WA 99347
Location Phone
(509) 843-1491
Location Fax
(509) 843-1740
Mailing Address
66 N 6TH ST POMEROY, WA 99347
Mailing Phone
(509) 843-1491
Mailing Fax
(509) 843-1740
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-26-2006
Last Update Date
10-25-2024
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A primary care provider (PCP) like Pomeroy Medical 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.
503982
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.

*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

HOLLIE WINSLOW

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(509) 566-4147

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
7023161MEDICAID (05)WA 
7105463OTHER (01)WAMEDICA RURAL HEALTH ENCO

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
50D1044707
Facility Type
Community Clinic
Certificate Effective Date
August 25, 2005
Certificate Expiration Date
April 04, 2028
Laboratory Director
PARK A. YONGMOON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pomeroy Medical Clinic 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 POMEROY MEDICAL CLINIC

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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 1114028693, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 1 → 2 0 → 0 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 0 + 2 + 1 + 6 + 6 + 1 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114028693.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
446 PATAHA ST
POMEROY, WA 99347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114028693, enumerated as an "organization" on September 26, 2006.

The provider is located at 446 PATAHA ST POMEROY, WA 99347 and the phone number is (509) 843-1491.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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