FEDERAL CORRECTIONAL INSTITUTION
NPI 1205193893
Clinic/Center - Public Health, Federal in Phoenix, AZ

NPI Status: Active since April 19, 2012

Contact Information

37900 N 45TH AVE DEPT 1680
PHOENIX, AZ
ZIP 85086
Phone: (623) 465-5797
Fax: (623) 465-5116

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  • Organization
  • Clinic/Center
  • Public Health, Federal
  • CLIA Number: 03D0712260
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About FEDERAL CORRECTIONAL INSTITUTION

This page provides the complete NPI Profile along with additional information for Federal Correctional Institution, a primary care provider established in Phoenix, Arizona operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1205193893 assigned on April 2012. The practitioner's primary taxonomy code is 261QP0904X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Ricardo Willis Etc (Health Services Administrator)

NPI
1205193893
Provider Name
FEDERAL CORRECTIONAL INSTITUTION
Entity Type
Organization
Location Address
37900 N 45TH AVE DEPT 1680 PHOENIX, AZ 85086
Location Phone
(623) 465-5797
Location Fax
(623) 465-5116
Mailing Address
37900 N 45TH AVE DEPT 1680 PHOENIX, AZ 85086
Mailing Phone
(623) 465-5797
Mailing Fax
(623) 465-5116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2012
Last Update Date
04-19-2012
Code Navigator

A primary care provider (PCP) like Federal Correctional Institution 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 Public Health, Federal

Taxonomy Code
261QP0904X
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

MR. RICARDO WILLIS ETC

Authorized Official Title
HEALTH SERVICES ADMINISTRATOR
Authorized Official Phone
(623) 465-5163

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
03D0712260
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
SALVATORE A. RICOTTA, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Federal Correctional Institution 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 1205193893, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 2 + 9 + 6 + 8 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205193893.

Other Providers at the Same Location


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

Pharmacist
37900 N 45TH AVE DEPT 1680
PHOENIX, AZ 85086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205193893, enumerated as an "organization" on April 19, 2012.

The provider is located at 37900 N 45TH AVE DEPT 1680 PHOENIX, AZ 85086 and the phone number is (623) 465-5797.

Clinic/Center with taxonomy code 261QP0904X and a focus in Public Health, Federal.