SUMMIT COUNTY EARLY INTERVENTION
NPI 1508872177
Public Health or Welfare in Park City, UT

NPI Status: Active since August 01, 2006

Contact Information

6505 LANDMARK DR
PARK CITY, UT
ZIP 84098
Phone: (435) 615-3925
Fax: (435) 615-3926

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 46D2199569
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 11-08-2026

About SUMMIT COUNTY EARLY INTERVENTION

This page provides the complete NPI Profile along with additional information for Summit County Early Intervention, a provider established in Park City, Utah operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1508872177 assigned on August 2006. The practitioner's primary taxonomy code is 251K00000X with license number 251C00000X (UT). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Suesanneb O Bond Bsece (Director)

NPI
1508872177
Provider Name
SUMMIT COUNTY EARLY INTERVENTION
Entity Type
Organization
Location Address
6505 LANDMARK DR PARK CITY, UT 84098
Location Phone
(435) 615-3925
Location Fax
(435) 615-3926
Mailing Address
6505 LANDMARK DR PARK CITY, UT 84098
Mailing Phone
(435) 615-3925
Mailing Fax
(435) 615-3926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2006
Last Update Date
07-21-2022
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
251C00000X
License State
UT

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.

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

SUESANNEB O BOND BSECE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(435) 615-3925

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
251C00000XMEDICAID (05)UT 

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
46D2199569
Facility Type
Prison
Certificate Effective Date
November 09, 2024
Certificate Expiration Date
November 08, 2026
Laboratory Director
KENNON C. TUBBS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Summit County Early Intervention in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for SUMMIT COUNTY EARLY INTERVENTION

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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 1508872177, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 0 → 0 8 → 16 → 7 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 6 + 7 + 4 + 1 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508872177.

Other Providers at the Same Location


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

Nurse Practitioner (Women's Health)
6505 LANDMARK DR, # 300
PARK CITY, UT 84098
Registered Nurse (Administrator)
6505 LANDMARK DR, #300
PARK CITY, UT 84098
Registered Nurse
6505 LANDMARK DR, #300
PARK CITY, UT 84098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508872177, enumerated as an "organization" on August 01, 2006.

The provider is located at 6505 LANDMARK DR PARK CITY, UT 84098 and the phone number is (435) 615-3925.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.