FHC BRIDGEPORT DENTAL
NPI 1205253176
Clinic/Center - Dental in Bridgeport, WA
NPI Status: Active since March 27, 2014
Contact Information
1015 COLUMBIA
BRIDGEPORT, WA
ZIP 98813
Phone: (509) 686-0603
Fax: (509) 686-0610
- Organization
- Clinic/Center
- Dental
- CLIA Number: 50D2309890
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-04-2028
About FHC BRIDGEPORT DENTAL
This page provides the complete NPI Profile along with additional information for Fhc Bridgeport Dental, a provider established in Bridgeport, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1205253176 assigned on March 2014. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Fhc Bridgeport Dental. The authorized official of this NPI record is Jesus Hernandez (Ceo)
- NPI
- 1205253176
- Provider Legal Name
- FAMILY HEALTH CENTERS
- Other Organization Name
- FHC BRIDGEPORT DENTAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1015 COLUMBIA BRIDGEPORT, WA 98813
- Location Phone
- (509) 686-0603
- Location Fax
- (509) 686-0610
- Mailing Address
- PO BOX 1340 OKANOGAN, WA 98840
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2014
- Last Update Date
- 01-19-2021
- 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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- 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
- 50D2309890
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 22, 2024
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- KEVAN COFFEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Fhc Bridgeport Dental 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.
Reviews for FHC BRIDGEPORT DENTAL
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1205253176, 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 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205253176, enumerated as an "organization" on March 27, 2014.
The provider is located at 1015 COLUMBIA BRIDGEPORT, WA 98813 and the phone number is (509) 686-0603.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
