SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR
NPI 1306853296
Clinic/Center - Primary Care in Brookings, OR

NPI Status: Active since August 02, 2006

Contact Information

555 5TH ST
BROOKINGS, OR
ZIP 97415
Phone: (541) 469-9205
Fax: (541) 469-9204

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 38D2009628
  • CLIA Cert. Type: Other - HOSPITAL OUT-PATIENT DEPT
  • CLIA Exp. Date: 07-07-2026

About SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR

This page provides the complete NPI Profile along with additional information for Sutter Coast Health Clinic @ Brookings-harbor, a primary care provider established in Brookings, Oregon operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1306853296 assigned on August 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Sutter Coast Health Clinic @ Brookings-harbor. The authorized official of this NPI record is Mitch Hanna (Ceo)

NPI
1306853296
Provider Legal Name
SUTTER COAST HOSPITAL
Other Organization Name
SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
555 5TH ST BROOKINGS, OR 97415
Location Phone
(541) 469-9205
Location Fax
(541) 469-9204
Mailing Address
800 E WASHINGTON BLVD CRESCENT CITY, CA 95531
Mailing Phone
(707) 464-8511
Mailing Fax
(541) 469-9204
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-02-2006
Last Update Date
10-10-2016
Code Navigator

A primary care provider (PCP) like Sutter Coast Health Clinic @ Brookings-harbor 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • 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

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

MITCH HANNA

Authorized Official Title
CEO
Authorized Official Phone
(707) 464-8880

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
CT3220OTHER (01)RAILROAD RETIRE
MCR118288MEDICARE UPIN (02) 
227691MEDICAID (05)OR 
840162000OTHER (01)ORBX REGENCE

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
38D2009628
Facility Type
Other - HOSPITAL OUT-PATIENT DEPT
Certificate Effective Date
July 08, 2024
Certificate Expiration Date
July 07, 2026
Laboratory Director
ALEXANDER LEIGHTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sutter Coast Health Clinic @ Brookings-harbor 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 SUTTER COAST HEALTH CLINIC @ BROOKINGS-HARBOR

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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 1306853296, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 8 → 16 → 7 3 → 6 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 + 1 + 6 + 5 + 6 + 2 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306853296.

Other Providers at the Same Location


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

Family Medicine
555 5TH ST, SUITE #1
BROOKINGS, OR 97415
Internal Medicine
555 5TH ST, SUITE 2
BROOKINGS, OR 97415
Internal Medicine
555 5TH ST, SUITE #1
BROOKINGS, OR 97415
Clinic/Center (Magnetic Resonance Imaging (MRI))
555 5TH ST, SUITE 3
BROOKINGS, OR 97415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306853296, enumerated as an "organization" on August 02, 2006.

The provider is located at 555 5TH ST BROOKINGS, OR 97415 and the phone number is (541) 469-9205.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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