EAGLE ROCK HEALTH CLINC
NPI 1689813834
Clinic/Center - Primary Care in Williams, AZ

NPI Status: Active since February 11, 2009

Contact Information

117 W ROUTE 66
SUITE 190
WILLIAMS, AZ
ZIP 86046
Phone: (928) 635-1044
Fax: (928) 635-1042

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  • Organization
  • Clinic/Center
  • Primary Care

About EAGLE ROCK HEALTH CLINC

This page provides the complete NPI Profile along with additional information for Eagle Rock Health Clinc, a primary care provider established in Williams, Arizona operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1689813834 assigned on February 2009. The practitioner's primary taxonomy code is 261QP2300X with license number 26182 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Eagle Rock Health Clinc. The authorized official of this NPI record is Gerald J Taitague M.d. (President/physician)

NPI
1689813834
Provider Legal Name
GERALD J TAITAGUE MD PC
Other Organization Name
EAGLE ROCK HEALTH CLINC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
117 W ROUTE 66 SUITE 190 WILLIAMS, AZ 86046
Location Phone
(928) 635-1044
Location Fax
(928) 635-1042
Mailing Address
117 W ROUTE 66 SUITE 190 WILLIAMS, AZ 86046
Mailing Phone
(928) 635-1044
Mailing Fax
(928) 635-1042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2009
Last Update Date
02-11-2009
Code Navigator

A primary care provider (PCP) like Eagle Rock Health Clinc 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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
26182
License State
AZ

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.

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.

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

GERALD J TAITAGUE M.D.

Authorized Official Title
PRESIDENT/PHYSICIAN
Authorized Official Phone
(928) 635-1044

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
G67639MEDICARE UPIN (02)AZ 
AZ0865880OTHER (01)AZBLUE CROSS
61893MEDICARE PIN (08)AZ 
01-0064151OTHER (01)AZRAILROAD MEDICARE
426503OTHER (01)AZAHCCCS

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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 1689813834, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 8 → 16 → 7 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 6 + 1 + 6 + 8 + 6 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689813834.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689813834, enumerated as an "organization" on February 11, 2009.

The provider is located at 117 W ROUTE 66 SUITE 190 WILLIAMS, AZ 86046 and the phone number is (928) 635-1044.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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