AMBLER CLINIC
NPI 1730835240
Clinic/Center in Ambler, AK

NPI Status: Active since February 23, 2022

Contact Information

110 MAIN ST
AMBLER, AK
ZIP 99786
Phone: (907) 442-3321
Fax: (907) 442-7250

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  • Organization
  • Clinic/Center
  • CLIA Number: 02D0641299
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About AMBLER CLINIC

This page provides the complete NPI Profile along with additional information for Ambler Clinic, a provider established in Ambler, Alaska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730835240 assigned on February 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ambler Clinic. The authorized official of this NPI record is Gus Nelson (Provider Enrollment Specialist)

NPI
1730835240
Provider Legal Name
MANIILAQ ASSOCIATION
Other Organization Name
AMBLER CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 MAIN ST AMBLER, AK 99786
Location Phone
(907) 442-3321
Location Fax
(907) 442-7250
Mailing Address
PO BOX 43 KOTZEBUE, AK 99752
Mailing Phone
(907) 442-3321
Mailing Fax
(907) 442-7250
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-23-2022
Last Update Date
03-15-2022
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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
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).

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

GUS NELSON

Authorized Official Title
PROVIDER ENROLLMENT SPECIALIST
Authorized Official Phone
(907) 442-3321

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
02D0641299
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
JAMES J. TIESINGA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ambler Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1730835240, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
0
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 3 → 6 8 → 16 → 7 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 1 + 6 + 3 + 1 + 0 + 2 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1730835240.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Health Worker
110 MAIN ST
AMBLER, AK 99786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730835240, enumerated as an "organization" on February 23, 2022.

The provider is located at 110 MAIN ST AMBLER, AK 99786 and the phone number is (907) 442-3321.

Clinic/Center with taxonomy code 261Q00000X.