PALO VERDE HOSPITAL
NPI 1114690609
Medicare Defined Swing Bed Unit in Blythe, CA

NPI Status: Active since July 29, 2021

Contact Information

250 N 1ST ST
BLYTHE, CA
ZIP 92225
Phone: (760) 922-4119

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  • Organization
  • Medicare Defined Swing Bed Unit
  • CLIA Number: 05D0571998
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-04-2026

About PALO VERDE HOSPITAL

This page provides the complete NPI Profile along with additional information for Palo Verde Hospital, a provider established in Blythe, California operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1114690609 assigned on July 2021. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Palo Verde Hospital. The authorized official of this NPI record is Sandra J Anaya Rn (Ceo)

NPI
1114690609
Provider Legal Name
PALO VERDE HEALTHCARE DISTRICT
Other Organization Name
PALO VERDE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
250 N 1ST ST BLYTHE, CA 92225
Location Phone
(760) 922-4119
Mailing Address
250 N 1ST ST BLYTHE, CA 92225
Mailing Phone
(760) 922-4119
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2021
Last Update Date
11-26-2024
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

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

SANDRA J ANAYA RN

Authorized Official Title
CEO
Authorized Official Phone
(760) 922-4115

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
05D0571998
Facility Type
Hospital
Certificate Effective Date
August 05, 2024
Certificate Expiration Date
August 04, 2026
Laboratory Director
MARK J. BECK MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Palo Verde Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1114690609, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 6 → 12 → 3 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 + 2 + 4 + 1 + 2 + 9 + 0 + 6 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114690609.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
250 N 1ST ST, PALO VERDE HOSPITAL
BLYTHE, CA 92225
Emergency Medicine
250 N 1ST ST
BLYTHE, CA 92225
Radiology (Diagnostic Radiology)
250 N 1ST ST
BLYTHE, CA 92225
Emergency Medicine
250 N 1ST ST
BLYTHE, CA 92225
Obstetrics & Gynecology
250 N 1ST ST
BLYTHE, CA 92225
Anesthesiology
250 N 1ST ST
BLYTHE, CA 92225
Anesthesiology
250 N 1ST ST
BLYTHE, CA 92225
Registered Nurse
250 N 1ST ST
BLYTHE, CA 92225
Emergency Medicine
250 N 1ST ST, EMERGENCY DEPARTMENT
BLYTHE, CA 92225
Nurse Anesthetist, Certified Registered
250 N 1ST ST
BLYTHE, CA 92225
General Acute Care Hospital
250 N 1ST ST
BLYTHE, CA 92225
Emergency Medicine
250 N 1ST ST
BLYTHE, CA 92225
Emergency Medicine
250 N 1ST ST
BLYTHE, CA 92225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114690609, enumerated as an "organization" on July 29, 2021.

The provider is located at 250 N 1ST ST BLYTHE, CA 92225 and the phone number is (760) 922-4119.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.