CROSSROADS URGENT CARE BY VALLEY VIEW MEDICAL CENTER
NPI 1174955116
Clinic/Center - Urgent Care in Bullhead City, AZ

NPI Status: Active since August 01, 2013

Contact Information

3641 HIGHWAY 95
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 758-2273
Fax: (928) 758-2166

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 44D1065557
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-04-2027

About CROSSROADS URGENT CARE BY VALLEY VIEW MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Crossroads Urgent Care By Valley View Medical Center, a provider established in Bullhead City, Arizona operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1174955116 assigned on August 2013. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Crossroads Urgent Care By Valley View Medical Center. The authorized official of this NPI record is Donald J. Bivacca (President)

NPI
1174955116
Provider Legal Name
PHC-FORT MOHAVE, INC.
Other Organization Name
CROSSROADS URGENT CARE BY VALLEY VIEW MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3641 HIGHWAY 95 BULLHEAD CITY, AZ 86442
Location Phone
(928) 758-2273
Location Fax
(928) 758-2166
Mailing Address
103 POWELL CT BRENTWOOD, TN 37027
Mailing Phone
(615) 372-8500
Mailing Fax
(928) 758-2166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2013
Last Update Date
08-01-2013
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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

DONALD J. BIVACCA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 372-8500

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
44D1065557
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 05, 2025
Certificate Expiration Date
March 04, 2027
Laboratory Director
JOHN C. NWOFIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crossroads Urgent Care By Valley View Medical Center 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 1174955116, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
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 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 8 + 5 + 1 + 0 + 1 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1174955116.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
3641 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Clinic/Center (Urgent Care)
3641 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Nurse Practitioner (Family)
3641 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Clinic/Center (Rural Health)
3641 HIGHWAY 95
BULLHEAD CITY, AZ 86442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174955116, enumerated as an "organization" on August 01, 2013.

The provider is located at 3641 HIGHWAY 95 BULLHEAD CITY, AZ 86442 and the phone number is (928) 758-2273.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.