SUMMIT HEALTHCARE AT BISON RANCH
NPI 1326549031
Non-Pharmacy Dispensing Site in Overgaard, AZ

NPI Status: Active since February 27, 2018

Contact Information

2352 QUARTER HORSE TRAIL
OVERGAARD, AZ
ZIP 85933
Phone: (928) 537-6910
Fax: (952) 653-2540

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 03D1059537
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-01-2026

About SUMMIT HEALTHCARE AT BISON RANCH

This page provides the complete NPI Profile along with additional information for Summit Healthcare At Bison Ranch, a provider established in Overgaard, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1326549031 assigned on February 2018. The practitioner's primary taxonomy code is 332900000X with license number OTC8162 (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Summit Healthcare At Bison Ranch. The authorized official of this NPI record is Aaron Young (Administrator)

NPI
1326549031
Provider Legal Name
SUMMIT HEALTHCARE ASSOCIATION
Other Organization Name
SUMMIT HEALTHCARE AT BISON RANCH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933
Location Phone
(928) 537-6910
Location Fax
(952) 653-2540
Mailing Address
2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933
Mailing Phone
(928) 537-6910
Mailing Fax
(952) 653-2540
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-27-2018
Last Update Date
02-27-2018
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
OTC8162
License State
AZ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

AARON YOUNG

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(928) 537-6389

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
03D1059537
Facility Type
Community Clinic
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
October 01, 2026
Laboratory Director
DR. NATHAN BROOKS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Healthcare At Bison Ranch 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 1326549031, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 2 → 4 5 → 10 → 1 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 1 + 0 + 4 + 1 + 8 + 0 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1326549031.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933
Physician Assistant
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933
Clinic/Center (Rural Health)
2352 QUARTER HORSE TRAIL
OVERGAARD, AZ 85933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326549031, enumerated as an "organization" on February 27, 2018.

The provider is located at 2352 QUARTER HORSE TRAIL OVERGAARD, AZ 85933 and the phone number is (928) 537-6910.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.