CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC
NPI 1306244694
Specialist in Bend, OR

NPI Status: Active since December 18, 2014

Contact Information

2041 NE WILLIAMSON CT STE A
BEND, OR
ZIP 97701
Phone: (541) 639-8333
Fax: (541) 749-2126

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 38D2327447
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-21-2027

About CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC

This page provides the complete NPI Profile along with additional information for Children's Heart Center Of Central Oregon Llc, a provider established in Bend, Oregon operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1306244694 assigned on December 2014. The practitioner's primary taxonomy code is 174400000X with license number MD23398 (OR). The provider is registered as an organization and their NPI record was last updated 12 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 Dr. Urszula Wanda Fawcett Md (Sole Member)

NPI
1306244694
Provider Name
CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC
Entity Type
Organization
Location Address
2041 NE WILLIAMSON CT STE A BEND, OR 97701
Location Phone
(541) 639-8333
Location Fax
(541) 749-2126
Mailing Address
2041 NE WILLIAMSON CT. SUITE A BEND, OR 97701
Mailing Phone
(541) 639-8333
Mailing Fax
(541) 749-2126
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2014
Last Update Date
12-18-2014
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD23398
License State
OR
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*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

DR. URSZULA WANDA FAWCETT MD

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(541) 385-3048

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
38D2327447
Facility Type
Physician Office
Certificate Effective Date
July 22, 2025
Certificate Expiration Date
July 21, 2027
Laboratory Director
URSZULA W. TAJCHMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Children's Heart Center Of Central Oregon Llc 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.

Reviews for CHILDREN'S HEART CENTER OF CENTRAL OREGON LLC

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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 1306244694, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 0 → 0 2 → 4 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 4 + 4 + 8 + 6 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306244694.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Chiropractor
2041 NE WILLIAMSON CT STE A
BEND, OR 97701
Chiropractor
2041 NE WILLIAMSON CT STE A
BEND, OR 97701
Interpreter
2041 NE WILLIAMSON CT STE A
BEND, OR 97701
Nurse's Aide
2041 NE WILLIAMSON CT STE A
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306244694, enumerated as an "organization" on December 18, 2014.

The provider is located at 2041 NE WILLIAMSON CT STE A BEND, OR 97701 and the phone number is (541) 639-8333.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.