ADVENTIST HEALTH MENDOCINO COAST
NPI 1124220249
Clinic/Center - Rural Health in Fort Bragg, CA
NPI Status: Active since June 01, 2007
Contact Information
721 RIVER DRIVE
SUITE A
FORT BRAGG, CA
ZIP 95437
Phone: (707) 961-4631
Fax: (707) 964-1192
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D0612009
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About ADVENTIST HEALTH MENDOCINO COAST
This page provides the complete NPI Profile along with additional information for Adventist Health Mendocino Coast, a primary care provider established in Fort Bragg, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1124220249 assigned on June 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1124220249
- Provider Legal Name
- ADVENTIST HEALTH MENDOCINO COAST
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 721 RIVER DRIVE SUITE A FORT BRAGG, CA 95437
- Location Phone
- (707) 961-4631
- Location Fax
- (707) 964-1192
- Mailing Address
- PO BOX 841941 LOS ANGELES, CA 90084
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2007
- Last Update Date
- 09-18-2025
- Code Navigator
A primary care provider (PCP) like Adventist Health Mendocino Coast 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
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
- 05D0612009
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- NICHOLAS HARDING-JACKSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Adventist Health Mendocino Coast 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 1124220249, 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.
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FORT BRAGG, CA 95437
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124220249, enumerated as an "organization" on June 01, 2007.
The provider is located at 721 RIVER DRIVE SUITE A FORT BRAGG, CA 95437 and the phone number is (707) 961-4631.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
