PENDLETON FAMILY MEDICINE LLC
NPI 1285765883
Family Medicine in Pendleton, OR

NPI Status: Active since March 08, 2007

Contact Information

1600 SE COURT PL
STE 201
PENDLETON, OR
ZIP 97801
Phone: (541) 276-1700

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 38D0895265
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-31-2027

About PENDLETON FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Pendleton Family Medicine Llc, a primary care provider established in Pendleton, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1285765883 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bethel E Hart (Office Manager)

NPI
1285765883
Provider Name
PENDLETON FAMILY MEDICINE LLC
Entity Type
Organization
Location Address
1600 SE COURT PL STE 201 PENDLETON, OR 97801
Location Phone
(541) 276-1700
Mailing Address
1600 SE COURT PL STE 201 PENDLETON, OR 97801
Mailing Phone
(541) 276-1700
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
03-23-2010
Code Navigator

A primary care provider (PCP) like Pendleton Family Medicine Llc 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
OR
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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.

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

BETHEL E HART

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(541) 276-1700

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
R106813MEDICARE ID-TYPE UNSPECIFIED (04)ORMEDICARE

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
38D0895265
Facility Type
Rural Health Clinic
Certificate Effective Date
January 01, 2026
Certificate Expiration Date
December 31, 2027
Laboratory Director
ROBERT G. JOHNSON JR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pendleton Family Medicine Llc 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.

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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 1285765883, 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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 4 + 6 + 1 + 0 + 8 + 1 + 6 + 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 1285765883.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801
Pediatrics
1600 SE COURT PL, L01
PENDLETON, OR 97801
Pediatrics
1600 SE COURT PL
PENDLETON, OR 97801
Family Medicine
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801
Clinic/Center
1600 SE COURT PL, SUITE, L01
PENDLETON, OR 97801
Internal Medicine
1600 SE COURT PL, STE 114
PENDLETON, OR 97801
Surgery
1600 SE COURT PL
PENDLETON, OR 97801
Physician Assistant
1600 SE COURT PL, SUITE 201
PENDLETON, OR 97801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285765883, enumerated as an "organization" on March 08, 2007.

The provider is located at 1600 SE COURT PL STE 201 PENDLETON, OR 97801 and the phone number is (541) 276-1700.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.