FAIRHAVEN FAMILY MEDICINE PS
NPI 1740425685
Clinic/Center - Multi-Specialty in Burlington, WA

NPI Status: Active since December 05, 2008

Contact Information

1030 E FAIRHAVEN AVE
BURLINGTON, WA
ZIP 98233
Phone: (360) 755-0311
Fax: (360) 755-1272

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About FAIRHAVEN FAMILY MEDICINE PS

This page provides the complete NPI Profile along with additional information for Fairhaven Family Medicine Ps, a provider established in Burlington, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1740425685 assigned on December 2008. The practitioner's primary taxonomy code is 261QM1300X with license number MD00013642 (WA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Stephen M Aldrich M.d. (Owner/physician)

NPI
1740425685
Provider Name
FAIRHAVEN FAMILY MEDICINE PS
Entity Type
Organization
Location Address
1030 E FAIRHAVEN AVE BURLINGTON, WA 98233
Location Phone
(360) 755-0311
Location Fax
(360) 755-1272
Mailing Address
PO BOX 468 BURLINGTON, WA 98233
Mailing Phone
(360) 755-0311
Mailing Fax
(360) 755-1272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2008
Last Update Date
09-15-2010
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
MD00013642
License State
WA

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)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

MD00023548 (WA)

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.

*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

DR. STEPHEN M ALDRICH M.D.

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(360) 755-0311

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
S57930OTHER (01)WAREGENCE BLUE SHIELD

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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 1740425685, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 8 + 2 + 1 + 0 + 6 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1740425685.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740425685, enumerated as an "organization" on December 05, 2008.

The provider is located at 1030 E FAIRHAVEN AVE BURLINGTON, WA 98233 and the phone number is (360) 755-0311.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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