THREE RIVERS HEALTH CENTER - DENTAL
NPI 1326889023
Clinic/Center - Dental in Coos Bay, OR
NPI Status: Active since June 05, 2024
Contact Information
1245 FULTON AVE
COOS BAY, OR
ZIP 97420
Phone: (541) 888-6433
- Organization
- Clinic/Center
- Dental
- CLIA Number: 38D2301190
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-20-2028
About THREE RIVERS HEALTH CENTER - DENTAL
This page provides the complete NPI Profile along with additional information for Three Rivers Health Center - Dental, a provider established in Coos Bay, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1326889023 assigned on June 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Three Rivers Health Center - Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Three Rivers Health Center - Dental. The authorized official of this NPI record is Mr. John R Reeves Iii Mha (Health Administrator)
- NPI
- 1326889023
- Provider Legal Name
- CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
- Other Organization Name
- THREE RIVERS HEALTH CENTER - DENTAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1245 FULTON AVE COOS BAY, OR 97420
- Location Phone
- (541) 888-6433
- Mailing Address
- 1245 FULTON AVE COOS BAY, OR 97420
- Mailing Phone
- (541) 888-6433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2024
- Last Update Date
- 06-05-2024
- 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 Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 124Q00000X | Dental Providers | Dental Hygienist | |
| 2 | 125J00000X | Dental Providers | Dental Therapist | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 |
|---|---|---|---|
| 165383 | MEDICAID (05) | OR |
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
- 38D2301190
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 21, 2026
- Certificate Expiration Date
- March 20, 2028
- Laboratory Director
- DR. BASIL PITTENGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Rivers Health Center - Dental 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 1326889023, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326889023, enumerated as an "organization" on June 05, 2024.
The provider is located at 1245 FULTON AVE COOS BAY, OR 97420 and the phone number is (541) 888-6433.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
