FORKS COMMUNITY HOSPITAL
NPI 1528142320
General Acute Care Hospital - Critical Access in Forks, WA
NPI Status: Active since October 25, 2006
Contact Information
530 BOGACHIEL WAY
FORKS, WA
ZIP 98331
Phone: (360) 374-6271
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 50D0635062
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-04-2028
About FORKS COMMUNITY HOSPITAL
This page provides the complete NPI Profile along with additional information for Forks Community Hospital, a provider established in Forks, Washington operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1528142320 assigned on October 2006. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Forks Community Hospital. The authorized official of this NPI record is Tim Cournyer (Ceo)
- NPI
- 1528142320
- Provider Legal Name
- CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
- Other Organization Name
- FORKS COMMUNITY HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 530 BOGACHIEL WAY FORKS, WA 98331
- Location Phone
- (360) 374-6271
- Mailing Address
- 530 BOGACHIEL WAY FORKS, WA 98331
- Mailing Phone
- (360) 374-6271
- Mailing Fax
- (360) 374-9781
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-25-2006
- Last Update Date
- 01-03-2017
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- 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 | 282NC0060X | Hospitals | General Acute Care Hospital | H-054 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
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 |
|---|---|---|---|
| 50Z325 | MEDICARE OSCAR/CERTIFICATION (06) | WA | |
| 4205407 | MEDICAID (05) | WA |
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
- 50D0635062
- Facility Type
- Hospital
- Certificate Effective Date
- November 01, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- SHEFALI GOYAL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Forks Community Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1528142320, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORKS, WA 98331
FORKS, WA 98331
FORKS, WA 98331
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528142320, enumerated as an "organization" on October 25, 2006.
The provider is located at 530 BOGACHIEL WAY FORKS, WA 98331 and the phone number is (360) 374-6271.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
