WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC
NPI 1598292377
Clinic/Center in Springerville, AZ

NPI Status: Active since May 11, 2017

Contact Information

114 S MOUNTAIN AVE
SPRINGERVILLE, AZ
ZIP 85938
Phone: (928) 333-7173
Fax: (928) 333-7157

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 03D1040843
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 05-17-2027

About WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for White Mountain Regional Medical Center Rural Health Clinic, a provider established in Springerville, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1598292377 assigned on May 2017. The practitioner's primary taxonomy code is 261Q00000X with license number H2530 (AZ). 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 Tracy Nelson Rn-bc (Clinic Manager)

NPI
1598292377
Provider Name
WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC
Entity Type
Organization
Location Address
114 S MOUNTAIN AVE SPRINGERVILLE, AZ 85938
Location Phone
(928) 333-7173
Location Fax
(928) 333-7157
Mailing Address
118 S MOUNTAIN AVE SPRINGERVILLE, AZ 85938
Mailing Phone
(928) 333-7173
Mailing Fax
(928) 333-7157
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-11-2017
Last Update Date
05-03-2022
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
H2530
License State
AZ
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

*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

TRACY NELSON RN-BC

Authorized Official Title
CLINIC MANAGER
Authorized Official Phone
(928) 333-7173

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
03D1040843
Facility Type
Ambulance
Certificate Effective Date
May 18, 2025
Certificate Expiration Date
May 17, 2027
Laboratory Director
GAIL NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to White Mountain Regional Medical Center Rural Health Clinic 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.

Reviews for WHITE MOUNTAIN REGIONAL MEDICAL CENTER RURAL HEALTH CLINIC

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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 1598292377, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
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 9 → 18 → 9 2 → 4 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 + 1 + 8 + 8 + 4 + 9 + 4 + 3 + 1 + 4 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1598292377.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
114 S MOUNTAIN AVE, WHITE MOUNTAIN SPECIALTY CLINIC
SPRINGERVILLE, AZ 85938
Clinic/Center (Pain)
114 S MOUNTAIN AVE
SPRINGERVILLE, AZ 85938
Clinic/Center (Pain)
114 S MOUNTAIN AVE
SPRINGERVILLE, AZ 85938
Nurse Practitioner (Family)
114 S MOUNTAIN AVE
SPRINGERVILLE, AZ 85938
Nurse Practitioner (Family)
114 S MOUNTAIN AVE
SPRINGERVILLE, AZ 85938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598292377, enumerated as an "organization" on May 11, 2017.

The provider is located at 114 S MOUNTAIN AVE SPRINGERVILLE, AZ 85938 and the phone number is (928) 333-7173.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and. Please consult your insurance carrier or call the provider to verify.