TAMARACK MEDICAL & DENTAL CLINIC
NPI 1255621835
General Practice in Tamarack, ID

NPI Status: Active since April 15, 2011

Contact Information

311 VILLAGE DR
TAMARACK, ID
ZIP 83615
Phone: (208) 724-7420

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  • Organization
  • General Practice

About TAMARACK MEDICAL & DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Tamarack Medical & Dental Clinic, a primary care provider established in Tamarack, Idaho operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1255621835 assigned on April 2011. The practitioner's primary taxonomy code is 208D00000X with license number M8190 (ID). The provider is registered as an organization and their NPI record was last updated 15 years ago. Tamarack Medical & Dental 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 Tamarack Medical & Dental Clinic. The authorized official of this NPI record is Dr. Rourke Yeakley M.d. (Sole Member)

NPI
1255621835
Provider Legal Name
TAMARACK EAGLE MEDICAL
Other Organization Name
TAMARACK MEDICAL & DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
311 VILLAGE DR TAMARACK, ID 83615
Location Phone
(208) 724-7420
Mailing Address
5701 WILLOW CREEK RD EAGLE, ID 83616
Mailing Phone
(208) 724-7420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2011
Last Update Date
04-15-2011
Code Navigator

A primary care provider (PCP) like Tamarack Medical & Dental 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
M8190
License State
ID
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)
1122300000XDental Providers

Dentist

 

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

DR. ROURKE YEAKLEY M.D.

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(208) 724-7420

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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 1255621835, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 5 → 10 → 1 6 → 12 → 3 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 2 + 2 + 2 + 8 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255621835.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255621835, enumerated as an "organization" on April 15, 2011.

The provider is located at 311 VILLAGE DR TAMARACK, ID 83615 and the phone number is (208) 724-7420.

General Practice with taxonomy code 208D00000X.