VINTAGE VALLEY FAMILY MED
NPI 1659809457
Clinic/Center - Rural Health in Zillah, WA

NPI Status: Active since May 24, 2017

Contact Information

915 VINTAGE VALLEY PKWY STE 200
ZILLAH, WA
ZIP 98953
Phone: (509) 829-5151

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 50D2135346
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 04-04-2028

About VINTAGE VALLEY FAMILY MED

This page provides the complete NPI Profile along with additional information for Vintage Valley Family Med, a primary care provider established in Zillah, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1659809457 assigned on May 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Vintage Valley Family Med 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 Vintage Valley Family Med. The authorized official of this NPI record is Mathew Mathiesen (Cfo)

NPI
1659809457
Provider Legal Name
SHC MEDICAL CENTER TOPPENISH
Other Organization Name
VINTAGE VALLEY FAMILY MED
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
915 VINTAGE VALLEY PKWY STE 200 ZILLAH, WA 98953
Location Phone
(509) 829-5151
Mailing Address
PO BOX 719 SUNNYSIDE, WA 98944
Mailing Phone
(509) 837-1617
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2017
Last Update Date
10-09-2024
Code Navigator

A primary care provider (PCP) like Vintage Valley Family Med sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

600581630 (WA)

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:

  • 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

*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

MATHEW MATHIESEN

Authorized Official Title
CFO
Authorized Official Phone
(509) 837-1379

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
50D2135346
Facility Type
Rural Health Clinic
Certificate Effective Date
August 21, 2017
Certificate Expiration Date
April 04, 2028
Laboratory Director
PETER J. GRUNERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vintage Valley Family Med 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 VINTAGE VALLEY FAMILY MED

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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 1659809457, 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
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 1 + 6 + 0 + 1 + 8 + 4 + 1 + 0 + 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 1659809457.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
915 VINTAGE VALLEY PKWY STE 200
ZILLAH, WA 98953
Nurse Practitioner (Family)
915 VINTAGE VALLEY PKWY STE 200
ZILLAH, WA 98953
Surgery
915 VINTAGE VALLEY PKWY STE 200
ZILLAH, WA 98953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659809457, enumerated as an "organization" on May 24, 2017.

The provider is located at 915 VINTAGE VALLEY PKWY STE 200 ZILLAH, WA 98953 and the phone number is (509) 829-5151.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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