COUPEVILLE CLINIC
NPI 1285985630
Internal Medicine in Coupeville, WA

NPI Status: Active since September 26, 2012

Contact Information

202 N MAIN ST
COUPEVILLE, WA
ZIP 98239
Phone: (360) 678-6576
Fax: (360) 678-3970

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  • Organization
  • Internal Medicine
  • CLIA Number: 50D2217049
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 04-04-2028

About COUPEVILLE CLINIC

This page provides the complete NPI Profile along with additional information for Coupeville Clinic, an internist established in Coupeville, Washington operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285985630 assigned on September 2012. The practitioner's primary taxonomy code is 207R00000X with license number MD60126180 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Coupeville Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Dan Eugene Fisher Md (Owner)

NPI
1285985630
Provider Name
COUPEVILLE CLINIC
Entity Type
Organization
Location Address
202 N MAIN ST COUPEVILLE, WA 98239
Location Phone
(360) 678-6576
Location Fax
(360) 678-3970
Mailing Address
PO BOX 1440 COUPEVILLE, WA 98239
Mailing Phone
(360) 678-6576
Mailing Fax
(360) 678-3970
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2012
Last Update Date
09-26-2012
Code Navigator

An internist like Coupeville Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD60126180
License State
WA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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. DAN EUGENE FISHER MD

Authorized Official Title
OWNER
Authorized Official Phone
(360) 678-6576

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
50D2217049
Facility Type
School/Student Health Service
Certificate Effective Date
March 17, 2021
Certificate Expiration Date
April 04, 2028
Laboratory Director
JENNIFER MORRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coupeville Clinic 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 1285985630, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 9 → 18 → 9 5 → 10 → 1 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 + 6 + 5 + 1 + 8 + 8 + 1 + 0 + 6 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1285985630.

Other Providers at the Same Location


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

Physician Assistant
202 N MAIN ST
COUPEVILLE, WA 98239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285985630, enumerated as an "organization" on September 26, 2012.

The provider is located at 202 N MAIN ST COUPEVILLE, WA 98239 and the phone number is (360) 678-6576.

Internal Medicine with taxonomy code 207R00000X.