KENDRICK CLINIC
NPI 1750475380
Clinic/Center - Rural Health in Kendrick, ID
NPI Status: Active since October 03, 2006
Contact Information
606 E MAIN ST
KENDRICK, ID
ZIP 83537
Phone: (208) 289-3841
Fax: (208) 289-3961
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 13D0938809
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-24-2025
About KENDRICK CLINIC
This page provides the complete NPI Profile along with additional information for Kendrick Clinic, a primary care provider established in Kendrick, Idaho operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1750475380 assigned on October 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 39 (ID). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Kendrick Clinic. The authorized official of this NPI record is Mr. Harry Jasper (Cfo)
- NPI
- 1750475380
- Provider Legal Name
- GRITMAN MEDICAL CENTER INC
- Other Organization Name
- KENDRICK CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 606 E MAIN ST KENDRICK, ID 83537
- Location Phone
- (208) 289-3841
- Location Fax
- (208) 289-3961
- Mailing Address
- 700 S MAIN ST MOSCOW, ID 83843
- Mailing Phone
- (208) 882-4511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2006
- Last Update Date
- 02-14-2017
- Code Navigator
A primary care provider (PCP) like Kendrick 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 39
- License State
- ID
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.
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 |
|---|---|---|---|
| 7118532 | MEDICAID (05) | WA | |
| 000010138308 | OTHER (01) | ID | REGENCE |
| 805890000 | MEDICAID (05) | ID | |
| 133997 | MEDICARE PIN (08) | ID | |
| 8A612 | OTHER (01) | ID | BLUE CROSS |
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
- 13D0938809
- Facility Type
- Physician Office
- Certificate Effective Date
- November 25, 2023
- Certificate Expiration Date
- November 24, 2025
- Laboratory Director
- JARED ANDREWS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kendrick 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.
Reviews for KENDRICK CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 7 | 5 | 3 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 7 | 10 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 7 + 1 + 0 + 3 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750475380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
KELLY MARIE LANDLE P.A.-C
Physician Assistant
606 E MAIN ST
KENDRICK, ID
ZIP 83537
MRS. SARAH GRACE FOX AURICH DNP
Nurse Practitioner
(Family)
606 E MAIN ST
KENDRICK, ID
ZIP 83537
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750475380, enumerated in the NPI registry as an "organization" on October 03, 2006
The provider is located at 606 E Main St Kendrick, Id 83537 and the phone number is (208) 289-3841
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D0938809 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued 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..
This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
