JFK MEMORIAL
NPI 1295108728
General Acute Care Hospital - Rural in Indio, CA

NPI Status: Active since November 05, 2015

Contact Information

47111 MONROE ST
INDIO, CA
ZIP 92201
Phone: (760) 775-8120
Fax: (760) 775-8424

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  • Organization
  • General Acute Care Hospital
  • Rural
  • CLIA Number: 05D2222833
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 02-28-2027

About JFK MEMORIAL

This page provides the complete NPI Profile along with additional information for Jfk Memorial, a provider established in Indio, California operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1295108728 assigned on November 2015. The practitioner's primary taxonomy code is 282NR1301X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. John Heydt M.d. (Chief Executive Officer)

NPI
1295108728
Provider Name
JFK MEMORIAL
Entity Type
Organization
Location Address
47111 MONROE ST INDIO, CA 92201
Location Phone
(760) 775-8120
Location Fax
(760) 775-8424
Mailing Address
PO BOX 31001-2130 PASADENA, CA 91110
Mailing Phone
(213) 412-1973
Mailing Fax
(760) 775-8424
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2015
Last Update Date
11-05-2015
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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 Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals

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. JOHN HEYDT M.D.

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(714) 456-2986

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
05D2222833
Facility Type
Hospice
Certificate Effective Date
March 01, 2025
Certificate Expiration Date
February 28, 2027
Laboratory Director
DR. OLGA BOHN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Jfk Memorial on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1295108728, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 9 → 18 → 9 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 2 + 0 + 1 + 6 + 7 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1295108728.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
47111 MONROE ST, PO DRAWER LLLL
INDIO, CA 92201
Emergency Medicine
47111 MONROE ST, PO DRAWER LLLL
INDIO, CA 92201
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Emergency Medicine (Emergency Medical Services)
47111 MONROE ST
INDIO, CA 92201
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Emergency Medicine
47111 MONROE ST, PO DRAWER LLLL
INDIO, CA 92201
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Nurse Practitioner (Family)
47111 MONROE ST
INDIO, CA 92201
General Acute Care Hospital
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Pharmacist (Pharmacotherapy)
47111 MONROE ST
INDIO, CA 92201
Nurse Practitioner (Family)
47111 MONROE ST
INDIO, CA 92201
Nurse Practitioner (Acute Care)
47111 MONROE ST
INDIO, CA 92201
Internal Medicine (Critical Care Medicine)
47111 MONROE ST
INDIO, CA 92201
Pharmacist
47111 MONROE ST
INDIO, CA 92201
Emergency Medicine
47111 MONROE ST
INDIO, CA 92201
Radiology (Diagnostic Radiology)
47111 MONROE ST
INDIO, CA 92201
Physician Assistant
47111 MONROE ST
INDIO, CA 92201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295108728, enumerated as an "organization" on November 05, 2015.

The provider is located at 47111 MONROE ST INDIO, CA 92201 and the phone number is (760) 775-8120.

General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.