JEFFERSON HEALTHCARE WALK IN CLINIC
NPI 1194032201
Physician Assistant - Medical in Port Townsend, WA

NPI Status: Active since September 10, 2010

Contact Information

1274 7TH ST STE A
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 379-0477

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 50D2143971
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About JEFFERSON HEALTHCARE WALK IN CLINIC

This page provides the complete NPI Profile along with additional information for Jefferson Healthcare Walk In Clinic, a primary care provider established in Port Townsend, Washington operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1194032201 assigned on September 2010. The practitioner's primary taxonomy code is 363AM0700X with license number HAC.FS.00000085 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Jefferson Healthcare Walk In Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Jefferson Healthcare Walk In Clinic. The authorized official of this NPI record is Ms. Kathy Lee Porter Cham (Registration Coordinator)

NPI
1194032201
Provider Legal Name
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other Organization Name
JEFFERSON HEALTHCARE WALK IN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1274 7TH ST STE A PORT TOWNSEND, WA 98368
Location Phone
(360) 379-0477
Mailing Address
834 SHERIDAN ST PORT TOWNSEND, WA 98368
Mailing Phone
(360) 385-2200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-10-2010
Last Update Date
12-09-2010
Code Navigator

A primary care provider (PCP) like Jefferson Healthcare Walk In 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
HAC.FS.00000085
License State
WA

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)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

HAC.FS.00000085 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MS. KATHY LEE PORTER CHAM

Authorized Official Title
REGISTRATION COORDINATOR
Authorized Official Phone
(360) 385-2200

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
50D2143971
Facility Type
Community Clinic
Certificate Effective Date
February 08, 2018
Certificate Expiration Date
April 04, 2028
Laboratory Director
REINA PARKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jefferson Healthcare Walk In 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 1194032201, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 9 → 18 → 9 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 0 + 3 + 4 + 2 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1194032201.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist
1274 7TH ST STE A
PORT TOWNSEND, WA 98368
Nurse Practitioner (Family)
1274 7TH ST STE A
PORT TOWNSEND, WA 98368
Clinic/Center (Rural Health)
1274 7TH ST STE A
PORT TOWNSEND, WA 98368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194032201, enumerated as an "organization" on September 10, 2010.

The provider is located at 1274 7TH ST STE A PORT TOWNSEND, WA 98368 and the phone number is (360) 379-0477.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.