VILLAGE HEALTHCARE OF CORVALLIS
NPI 1154555076
Clinic/Center in Corvallis, OR

NPI Status: Active since May 06, 2009

Contact Information

656 NW MIRADOR PL
CORVALLIS, OR
ZIP 97330
Phone: (541) 624-2040
Fax: (503) 200-2258

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  • Organization
  • Clinic/Center

About VILLAGE HEALTHCARE OF CORVALLIS

This page provides the complete NPI Profile along with additional information for Village Healthcare Of Corvallis, a provider established in Corvallis, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154555076 assigned on May 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 200450130NP (OR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Village Healthcare Of Corvallis. The authorized official of this NPI record is Renee Edwards Fnp (Manager Provider President)

NPI
1154555076
Provider Legal Name
VILLAGE HEALTHCARE OF LA GRANDE, INC.
Other Organization Name
VILLAGE HEALTHCARE OF CORVALLIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
656 NW MIRADOR PL CORVALLIS, OR 97330
Location Phone
(541) 624-2040
Location Fax
(503) 200-2258
Mailing Address
656 NW MIRADOR PL CORVALLIS, OR 97330
Mailing Phone
(541) 552-0386
Mailing Fax
(503) 200-2258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2009
Last Update Date
11-19-2019
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
200450130NP
License State
OR
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1305S00000XManaged Care Organizations

Point of Service

 

Insurance Plans Accepted

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

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

RENEE EDWARDS FNP

Authorized Official Title
MANAGER PROVIDER PRESIDENT
Authorized Official Phone
(541) 552-0386

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
269505MEDICAID (05)OR 
131713MEDICAID (05)OR 

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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 1154555076, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 5 + 1 + 0 + 0 + 1 + 4 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154555076.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
656 NW MIRADOR PL
CORVALLIS, OR 97330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154555076, enumerated as an "organization" on May 06, 2009.

The provider is located at 656 NW MIRADOR PL CORVALLIS, OR 97330 and the phone number is (541) 624-2040.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.