COUNTRY DOCTOR CLINIC-MATERNAL SUPPORT SERVICES
NPI 1316138696
Case Manager/Care Coordinator in Seattle, WA
NPI Status: Active since August 05, 2007
Contact Information
500 19TH AVE E
SEATTLE, WA
ZIP 98112
Phone: (206) 299-1600
Fax: (206) 299-1608
- Organization
- Case Manager/Care Coordinator
- CLIA Number: 50D0632210
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-04-2028
About COUNTRY DOCTOR CLINIC-MATERNAL SUPPORT SERVICES
This page provides the complete NPI Profile along with additional information for Country Doctor Clinic-maternal Support Services, a provider established in Seattle, Washington operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1316138696 assigned on August 2007. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as Country Doctor Clinic-maternal Support Services. The authorized official of this NPI record is Shonnie Evans (Qi Manager)
- NPI
- 1316138696
- Provider Legal Name
- COUNTRY DOCTOR COMMUNITY CLINIC
- Other Organization Name
- COUNTRY DOCTOR CLINIC-MATERNAL SUPPORT SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 500 19TH AVE E SEATTLE, WA 98112
- Location Phone
- (206) 299-1600
- Location Fax
- (206) 299-1608
- Mailing Address
- 500 19TH AVE E SEATTLE, WA 98112
- Mailing Phone
- (206) 299-1600
- Mailing Fax
- (206) 299-1608
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2007
- Last Update Date
- 06-25-2008
- Code Navigator
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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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:
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.
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 |
|---|---|---|---|
| 7402852 | MEDICAID (05) | WA |
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
- 50D0632210
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 01, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- MATTHEW J. LOGALBO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Country Doctor Clinic-maternal Support Services after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1316138696, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SEATTLE, WA 98112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316138696, enumerated as an "organization" on August 05, 2007.
The provider is located at 500 19TH AVE E SEATTLE, WA 98112 and the phone number is (206) 299-1600.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
