DENOVA COLLABORATIVE HEALTH, LLC
NPI 1316777956
Clinic/Center - Multi-Specialty in Flagstaff, AZ
NPI Status: Active since August 07, 2024
Contact Information
555 W FOREST MEADOWS ST STE 18
FLAGSTAFF, AZ
ZIP 86001
Phone: (602) 230-7373
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 03D2060619
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-12-2027
About DENOVA COLLABORATIVE HEALTH, LLC
This page provides the complete NPI Profile along with additional information for Denova Collaborative Health, Llc, a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1316777956 assigned on August 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Graham Johnson (Ceo)
- NPI
- 1316777956
- Provider Name
- DENOVA COLLABORATIVE HEALTH, LLC
- Entity Type
- Organization
- Location Address
- 555 W FOREST MEADOWS ST STE 18 FLAGSTAFF, AZ 86001
- Location Phone
- (602) 230-7373
- Mailing Address
- 3101 N CENTRAL AVE STE 500 PHOENIX, AZ 85012
- Mailing Phone
- (602) 230-7373
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2024
- Last Update Date
- 08-07-2024
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 03D2060619
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- ARTHUR L. PELBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Denova Collaborative Health, 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.
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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 1316777956, 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 2 providers are registered at the same or a nearby location.
FLAGSTAFF, AZ 86001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316777956, enumerated as an "organization" on August 07, 2024.
The provider is located at 555 W FOREST MEADOWS ST STE 18 FLAGSTAFF, AZ 86001 and the phone number is (602) 230-7373.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
