SAN CARLOS INDIAN HOSPITAL
NPI 1538446166
General Acute Care Hospital in Peridot, AZ

NPI Status: Active since November 10, 2011

Contact Information

103 MEDICINE WAY RD
PERIDOT, AZ
ZIP 85542
Phone: (928) 475-1200

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 03D2274223
  • CLIA Cert. Type: Other - MOBILE HEALTH UNIT
  • CLIA Exp. Date: 12-27-2026

About SAN CARLOS INDIAN HOSPITAL

This page provides the complete NPI Profile along with additional information for San Carlos Indian Hospital, a provider established in Peridot, Arizona operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1538446166 assigned on November 2011. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as San Carlos Indian Hospital. The authorized official of this NPI record is Mrs. Valerie J. Chee (Director - Patient Financial Srvcs)

NPI
1538446166
Provider Legal Name
DHHS IHS PHOENIX AREA
Other Organization Name
SAN CARLOS INDIAN HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
103 MEDICINE WAY RD PERIDOT, AZ 85542
Location Phone
(928) 475-1200
Mailing Address
PO BOX 787 PERIDOT, AZ 85542
Mailing Phone
(928) 475-1200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2011
Last Update Date
08-19-2015
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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

MRS. VALERIE J. CHEE

Authorized Official Title
DIRECTOR - PATIENT FINANCIAL SRVCS
Authorized Official Phone
(928) 475-1290

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
03D2274223
Facility Type
Other - MOBILE HEALTH UNIT
Certificate Effective Date
December 28, 2024
Certificate Expiration Date
December 27, 2026
Laboratory Director
JAMES M. DARRAGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Carlos Indian Hospital 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 1538446166, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 3 → 6 4 → 8 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 8 + 4 + 1 + 2 + 1 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538446166.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Physical Therapy Assistant
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Emergency Medicine
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Registered Nurse (Community Health)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Registered Nurse (Community Health)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Registered Nurse (Community Health)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Pharmacist
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Family Medicine
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Internal Medicine
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Emergency Medicine
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Nurse Practitioner (Primary Care)
103 MEDICINE WAY RD
PERIDOT, AZ 85542
Physical Therapist
103 MEDICINE WAY RD
PERIDOT, AZ 85542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538446166, enumerated as an "organization" on November 10, 2011.

The provider is located at 103 MEDICINE WAY RD PERIDOT, AZ 85542 and the phone number is (928) 475-1200.

General Acute Care Hospital with taxonomy code 282N00000X.