MOBILE VACCINATION CLINIC
NPI 1174117394
Clinic/Center - Community Health in Durango, CO
NPI Status: Active since February 28, 2021
Contact Information
575 RIVERGATE
DURANGO, CO
ZIP 81301
Phone: (970) 247-3537
Fax: (970) 247-1254
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 06D2060663
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 06-13-2027
About MOBILE VACCINATION CLINIC
This page provides the complete NPI Profile along with additional information for Mobile Vaccination Clinic, a primary care provider established in Durango, Colorado operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1174117394 assigned on February 2021. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Mobile Vaccination Clinic. The authorized official of this NPI record is Jennifer Boyd Baldock (Officer And Authorized Official)
- NPI
- 1174117394
- Provider Legal Name
- ANIMAS SURGICAL HOSPITAL, LLC
- Other Organization Name
- MOBILE VACCINATION CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 575 RIVERGATE DURANGO, CO 81301
- Location Phone
- (970) 247-3537
- Location Fax
- (970) 247-1254
- Mailing Address
- 6128 S LYNCREST AVE SIOUX FALLS, SD 57108
- Mailing Phone
- (888) 955-0501
- Mailing Fax
- (970) 247-1254
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2021
- Last Update Date
- 02-08-2023
- Code Navigator
A primary care provider (PCP) like Mobile Vaccination 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 Community Health
- Taxonomy Code
- 261QC1500X
- 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
- 06D2060663
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- DR. JONATHAN RUDOLPH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mobile Vaccination 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.
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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 1174117394, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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.
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DURANGO, CO 81301
DURANGO, CO 81301
DURANGO, CO 81301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174117394, enumerated as an "organization" on February 28, 2021.
The provider is located at 575 RIVERGATE DURANGO, CO 81301 and the phone number is (970) 247-3537.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
