ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC
NPI 1376894048
Clinic/Center - Multi-Specialty in Prosser, WA
NPI Status: Active since September 21, 2012
Contact Information
336 CHARDONNAY AVE STE A
PROSSER, WA
ZIP 99350
Phone: (509) 786-2002
Fax: (509) 786-2026
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 50D2216127
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 04-04-2028
About ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC
This page provides the complete NPI Profile along with additional information for Adventist Health Medical Group Prosser Clinic, a provider established in Prosser, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1376894048 assigned on September 2012. The practitioner's primary taxonomy code is 261QM1300X with license number 363006281 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Adventist Health Medical Group Prosser Clinic. The authorized official of this NPI record is Monty E Knittel (Ceo)
- NPI
- 1376894048
- Provider Legal Name
- WALLA WALLA GENERAL HOSPITAL
- Other Organization Name
- ADVENTIST HEALTH MEDICAL GROUP PROSSER CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 336 CHARDONNAY AVE STE A PROSSER, WA 99350
- Location Phone
- (509) 786-2002
- Location Fax
- (509) 786-2026
- Mailing Address
- PO BOX 1398 WALLA WALLA, WA 99362
- Mailing Phone
- (509) 522-0100
- Mailing Fax
- (509) 786-2026
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-21-2012
- Last Update Date
- 02-03-2015
- 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
- License No.
- 363006281
- License State
- WA
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 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 363006281 (WA) |
| 2 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 50D2216127
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- March 09, 2021
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- STACEY HAVEMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adventist Health Medical Group Prosser Clinic 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 1376894048, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
PROSSER, WA 99350
PROSSER, WA 99350
PROSSER, WA 99350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376894048, enumerated as an "organization" on September 21, 2012.
The provider is located at 336 CHARDONNAY AVE STE A PROSSER, WA 99350 and the phone number is (509) 786-2002.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
