SACRED PEAKS HEALTH CENTER
NPI 1184045916
Durable Medical Equipment & Medical Supplies in Flagstaff, AZ
NPI Status: Active since December 20, 2013
Contact Information
6300 N HIGHWAY 89
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 863-7333
Fax: (928) 525-0047
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 03D1105785
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2027
About SACRED PEAKS HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Sacred Peaks Health Center, a provider established in Flagstaff, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1184045916 assigned on December 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Sacred Peaks Health Center. The authorized official of this NPI record is Lynette Bonar (Chief Executive Officer)
- NPI
- 1184045916
- Provider Legal Name
- SACRED PEAKS HEALTH CENTER DME
- Other Organization Name
- SACRED PEAKS HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6300 N HIGHWAY 89 FLAGSTAFF, AZ 86004
- Location Phone
- (928) 863-7333
- Location Fax
- (928) 525-0047
- Mailing Address
- PO BOX 600 167 NORTH MAIN STREET TUBA CITY, AZ 86045
- Mailing Phone
- (928) 283-2781
- Mailing Fax
- (928) 525-0047
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-20-2013
- Last Update Date
- 09-10-2019
- Code Navigator
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 03D1105785
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2025
- Certificate Expiration Date
- September 27, 2027
- Laboratory Director
- MYLES STONE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sacred Peaks Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1184045916, 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.
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FLAGSTAFF, AZ 86004
FLAGSTAFF, AZ 86004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184045916, enumerated as an "organization" on December 20, 2013.
The provider is located at 6300 N HIGHWAY 89 FLAGSTAFF, AZ 86004 and the phone number is (928) 863-7333.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
