CLEARWATER MEDICAL CLINIC
NPI 1558452268
Nurse Practitioner - Family in Lewiston, ID
NPI Status: Active since September 27, 2006
Contact Information
1522 17TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 743-8416
Fax: (208) 743-4642
- Organization
- Nurse Practitioner
- Family
About CLEARWATER MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Clearwater Medical Clinic, a provider established in Lewiston, Idaho operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1558452268 assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number NP361A (). The provider is registered as an organization and their NPI record was last updated 18 years ago. Clearwater Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Clearwater Medical Clinic. The authorized official of this NPI record is Dr. Celso R Chavez Md (Owner Physician)
- NPI
- 1558452268
- Provider Legal Name
- CLEARWATER MEDICAL CENTER PLLC
- Other Organization Name
- CLEARWATER MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1522 17TH ST LEWISTON, ID 83501
- Location Phone
- (208) 743-8416
- Location Fax
- (208) 743-4642
- Mailing Address
- 1522 17TH ST LEWISTON, ID 83501
- Mailing Phone
- (208) 743-8416
- Mailing Fax
- (208) 743-4642
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2006
- Last Update Date
- 12-16-2008
- Code Navigator
A nurse practitioner (NP) like Clearwater Medical Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP361A
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | A87025 (ID) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP740A (ID) |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP751A (ID) |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP372A (ID) |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP388A (ID) |
| 6 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP390A (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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 |
|---|---|---|---|
| 1372186 | MEDICARE ID-TYPE UNSPECIFIED (04) | ID | GROUP PROVIDER NUMBER |
| 0466670001 | MEDICARE NSC (07) | ID |
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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 1558452268, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558452268, enumerated as an "organization" on September 27, 2006.
The provider is located at 1522 17TH ST LEWISTON, ID 83501 and the phone number is (208) 743-8416.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
