BOGACHIEL CLINIC
NPI 1285683052
Clinic/Center - Rural Health in Forks, WA
NPI Status: Active since May 09, 2006
Contact Information
390 FOUNDERS WAY
FORKS, WA
ZIP 98331
Phone: (360) 374-6271
Fax: (360) 374-9781
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 50D0635043
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 04-04-2028
About BOGACHIEL CLINIC
This page provides the complete NPI Profile along with additional information for Bogachiel Clinic, a primary care provider established in Forks, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1285683052 assigned on May 2006. The practitioner's primary taxonomy code is 261QR1300X with license number H-054 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bogachiel Clinic. The authorized official of this NPI record is Heidi Anderson (Ceo)
- NPI
- 1285683052
- Provider Legal Name
- CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
- Other Organization Name
- BOGACHIEL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 390 FOUNDERS WAY FORKS, WA 98331
- Location Phone
- (360) 374-6271
- Location Fax
- (360) 374-9781
- Mailing Address
- 390 FOUNDERS WAY FORKS, WA 98331
- Mailing Phone
- (360) 374-6271
- Mailing Fax
- (360) 374-9781
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-09-2006
- Last Update Date
- 01-11-2022
- Code Navigator
A primary care provider (PCP) like Bogachiel 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- H-054
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7047459 | MEDICAID (05) | WA | |
| 7113442 | MEDICAID (05) | WA |
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
- 50D0635043
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- August 05, 2019
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- FARON J. BAUER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bogachiel Clinic 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 BOGACHIEL CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 8 | 3 | 0 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 8 | 6 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 6 + 0 + 1 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1285683052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
SUSAN LEE SHANE ARNP
Clinical Nurse Specialist
(Women's Health)
390 FOUNDERS WAY
SUITE 1
FORKS, WA
ZIP 98331
STEPHANIE MARIE BECHTOLD ARNP
Nurse Practitioner
(Family)
390 FOUNDERS WAY
FORKS, WA
ZIP 98331
DR. JACQUELINE S OSLAND MD
Surgery
390 FOUNDERS WAY
FORKS, WA
ZIP 98331
MELISSA PORTNOY ARNP
Nurse Practitioner
(Family)
390 FOUNDERS WAY
FORKS, WA
ZIP 98331
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285683052, enumerated as an "organization" on May 09, 2006.
The provider is located at 390 FOUNDERS WAY FORKS, WA 98331 and the phone number is (360) 374-6271.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
