SAN CARLOS APACHE HEALTHCARE CORPORATION
NPI 1710475124
Durable Medical Equipment & Medical Supplies in Peridot, AZ

NPI Status: Active since May 01, 2018

Contact Information

103 MEDICINE WAY ROAD
PERIDOT, AZ
ZIP 85542
Phone: (928) 475-1400
Fax: (928) 475-7371

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Durable Medical Equipment & Medical Supp...
Medicare Supplier
Accepts Medicare Approved Payment

About SAN CARLOS APACHE HEALTHCARE CORPORATION

This page provides the complete NPI Profile along with additional information for San Carlos Apache Healthcare Corporation, a provider established in Peridot, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1710475124 assigned on May 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Valerie J Chee (Director Patient Financial Services)

NPI: 1710475124
Provider Name: SAN CARLOS APACHE HEALTHCARE CORPORATION
Entity Type: Organization
Location Address: 103 MEDICINE WAY ROAD PERIDOT, AZ 85542
Location Phone: (928) 475-1400
Location Fax: (928) 475-7371
Mailing Address: PO BOX 787 PERIDOT, AZ 85542
Mailing Phone: (928) 475-1290
Mailing Fax: (928) 475-7371
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-01-2018
Last Update Date: 05-01-2018
Code Navigator

San Carlos Apache Healthcare Corporation is a medicare supplier with PTAN 20482877 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Diabetic Shoes and Inserts.

Location Map

Secondary Locations

101 Medicine Road
Bylas, AZ 85530
(928) 475-1290

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: Durable Medical Equipment & Medical Supplies
Taxonomy Code: 332B00000X
Type: Suppliers
Taxonomy Description: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: VALERIE J CHEE
Authorized Official Title: DIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official Phone: (928) 475-1290

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
059898	MEDICAID (05)	AZ
099458	MEDICAID (05)	AZ

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20482877
Accepts Medicare Assignment: YES
Provider Type List: INDIAN HEALTH SERVICE.
Competitive Bidding: NO

Supplies List

Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
Diabetic Shoes and Inserts - Shoes, Socks, Insoles

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 1710475124, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 4

Check

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 1 → 2 4 → 8 5 → 10 → 1 2 → 4