NORTH LAKE CLINIC
NPI 1457745101
Clinic/Center in Christmas Valley, OR

NPI Status: Active since March 20, 2015

Contact Information

87520 BAY RD
POB 377
CHRISTMAS VALLEY, OR
ZIP 97641
Phone: (541) 576-2343
Fax: (541) 576-2869

Get Directions Write a Review

  • Organization
  • Clinic/Center

About NORTH LAKE CLINIC

This page provides the complete NPI Profile along with additional information for North Lake Clinic, a provider established in Christmas Valley, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1457745101 assigned on March 2015. The practitioner's primary taxonomy code is 261Q00000X with license number 078041667 (OR). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as North Lake Clinic. The authorized official of this NPI record is Patricia D Widenoja Fnp, Dnp (Owner)

NPI
1457745101
Provider Legal Name
PAT WIDENOJA FNP
Other Organization Name
NORTH LAKE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
87520 BAY RD POB 377 CHRISTMAS VALLEY, OR 97641
Location Phone
(541) 576-2343
Location Fax
(541) 576-2869
Mailing Address
POB377 87520 BAY RD CHRISTMAS VALLEY, OR 97641
Mailing Phone
(541) 576-2343
Mailing Fax
(541) 576-2869
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2015
Last Update Date
03-20-2015
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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
078041667
License State
OR
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

PATRICIA D WIDENOJA FNP, DNP

Authorized Official Title
OWNER
Authorized Official Phone
(541) 576-2343

Reviews for NORTH LAKE CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1457745101, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 4 + 4 + 1 + 0 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457745101.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Physician Assistant
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Student in an Organized Health Care Education/Training Program
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Case Manager/Care Coordinator
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Nurse Practitioner (Family)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Counselor (Mental Health)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Case Manager/Care Coordinator
87520 BAY RD
CHRISTMAS VALLEY, OR 97641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457745101, enumerated as an "organization" on March 20, 2015.

The provider is located at 87520 BAY RD POB 377 CHRISTMAS VALLEY, OR 97641 and the phone number is (541) 576-2343.

Clinic/Center with taxonomy code 261Q00000X.