LEGACY CENTER FOR BIRTH AND WELLNESS
NPI 1306730635
Clinic/Center - Birthing in Flagstaff, AZ

NPI Status: Active since June 03, 2025

Contact Information

555 S BLACKBIRD ROOST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-6064
Fax: (928) 773-9694

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  • Organization
  • Clinic/Center
  • Birthing
  • CLIA Number: 03D2331141
  • CLIA Cert. Type: Other - BIRTH CENTER
  • CLIA Exp. Date: 09-25-2027

About LEGACY CENTER FOR BIRTH AND WELLNESS

This page provides the complete NPI Profile along with additional information for Legacy Center For Birth And Wellness, a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in birthing . The healthcare provider is registered in the NPI registry with number 1306730635 assigned on June 2025. The practitioner's primary taxonomy code is 261QB0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Krystal Harris Cpm (Office Manager)

NPI
1306730635
Provider Name
LEGACY CENTER FOR BIRTH AND WELLNESS
Entity Type
Organization
Location Address
555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001
Location Phone
(928) 779-6064
Location Fax
(928) 773-9694
Mailing Address
555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001
Mailing Phone
(928) 779-6064
Mailing Fax
(928) 773-9694
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2025
Last Update Date
06-03-2025
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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

Clinic/Center Birthing

Taxonomy Code
261QB0400X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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

KRYSTAL HARRIS CPM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(928) 779-6064

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
03D2331141
Facility Type
Other - BIRTH CENTER
Certificate Effective Date
September 26, 2025
Certificate Expiration Date
September 25, 2027
Laboratory Director
MARGARET A. KLINE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Legacy Center For Birth And Wellness 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 1306730635, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 7 → 14 → 5 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 4 + 3 + 0 + 6 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1306730635.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
555 S BLACKBIRD ROOST
FLAGSTAFF, AZ 86001
Nurse Practitioner (Psychiatric/Mental Health)
555 S BLACKBIRD ROOST
FLAGSTAFF, AZ 86001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306730635, enumerated as an "organization" on June 03, 2025.

The provider is located at 555 S BLACKBIRD ROOST FLAGSTAFF, AZ 86001 and the phone number is (928) 779-6064.

Clinic/Center with taxonomy code 261QB0400X and a focus in Birthing.