SUTTER COAST COMMUNITY CLINIC
NPI 1700960267
General Practice in Crescent City, CA

NPI Status: Active since October 24, 2006

Contact Information

780 E WASHINGTON BLVD
SUITE 202
CRESCENT CITY, CA
ZIP 95531
Phone: (707) 464-6715
Fax: (707) 465-0870

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  • Organization
  • General Practice
  • CLIA Number: 05D1061960
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-28-2028

About SUTTER COAST COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Sutter Coast Community Clinic, a primary care provider established in Crescent City, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1700960267 assigned on October 2006. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Sutter Coast Community 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 Sutter Coast Community Clinic. The authorized official of this NPI record is Mitch Hanna (Ceo)

NPI
1700960267
Provider Legal Name
SUTTER COAST HOSPITAL
Other Organization Name
SUTTER COAST COMMUNITY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
780 E WASHINGTON BLVD SUITE 202 CRESCENT CITY, CA 95531
Location Phone
(707) 464-6715
Location Fax
(707) 465-0870
Mailing Address
800 E WASHINGTON BLVD CRESCENT CITY, CA 95531
Mailing Phone
(707) 464-8511
Mailing Fax
(707) 465-0870
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-24-2006
Last Update Date
10-10-2016
Code Navigator

A primary care provider (PCP) like Sutter Coast Community Clinic 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

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

MITCH HANNA

Authorized Official Title
CEO
Authorized Official Phone
(707) 464-8880

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
05D1061960
Facility Type
Community Clinic
Certificate Effective Date
February 28, 2026
Certificate Expiration Date
February 28, 2028
Laboratory Director
COURNEY P. RIDLEY MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sutter Coast Community 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.

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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 1700960267, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 9 → 18 → 9 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 8 + 6 + 0 + 2 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1700960267.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Surgery
780 E WASHINGTON BLVD, SUITE 105
CRESCENT CITY, CA 95531
Pediatrics
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Obstetrics & Gynecology
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Obstetrics & Gynecology
780 E WASHINGTON BLVD, SUITE 101
CRESCENT CITY, CA 95531
Orthopaedic Surgery
780 E WASHINGTON BLVD, SUITE 105
CRESCENT CITY, CA 95531
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
780 E WASHINGTON BLVD, BUILDING B
CRESCENT CITY, CA 95531
Pediatrics
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Advanced Practice Midwife
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Urology
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Physician Assistant
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700960267, enumerated as an "organization" on October 24, 2006.

The provider is located at 780 E WASHINGTON BLVD SUITE 202 CRESCENT CITY, CA 95531 and the phone number is (707) 464-6715.

General Practice with taxonomy code 208D00000X.