COWLITZ INDIAN TRIBE
NPI 1770166365
Preventive Medicine - Public Health & General Preventive Medicine in Dupont, WA

NPI Status: Active since April 30, 2021

Contact Information

1000 DAVIS PL
DUPONT, WA
ZIP 98327
Phone: (206) 721-5170
Fax: (206) 721-6288

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  • Organization
  • Preventive Medicine
  • Public Health & General Preventive Medic...
  • CLIA Number: 50D2301990
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 04-04-2028

About COWLITZ INDIAN TRIBE

This page provides the complete NPI Profile along with additional information for Cowlitz Indian Tribe, a provider established in Dupont, Washington operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1770166365 assigned on April 2021. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Cowlitz Indian Tribe operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Steven Kutz (Executive Director Hhs)

NPI
1770166365
Provider Name
COWLITZ INDIAN TRIBE
Entity Type
Organization
Location Address
1000 DAVIS PL DUPONT, WA 98327
Location Phone
(206) 721-5170
Location Fax
(206) 721-6288
Mailing Address
PO BOX 2429 LONGVIEW, WA 98632
Mailing Phone
(360) 353-9431
Mailing Fax
(206) 721-6288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2021
Last Update Date
04-30-2021
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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

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

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)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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

STEVEN KUTZ

Authorized Official Title
EXECUTIVE DIRECTOR HHS
Authorized Official Phone
(360) 575-8275

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
50D2301990
Facility Type
Mobile Laboratory
Certificate Effective Date
April 03, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
AMOS CHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cowlitz Indian Tribe 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.

Reviews for COWLITZ INDIAN TRIBE

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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 1770166365, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 7 → 14 → 5 1 → 2 6 → 12 → 3 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 + 1 + 4 + 0 + 2 + 6 + 1 + 2 + 3 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1770166365.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
1000 DAVIS PL
DUPONT, WA 98327
Social Worker (Clinical)
1000 DAVIS PL
DUPONT, WA 98327
Social Worker (Clinical)
1000 DAVIS PL
DUPONT, WA 98327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770166365, enumerated as an "organization" on April 30, 2021.

The provider is located at 1000 DAVIS PL DUPONT, WA 98327 and the phone number is (206) 721-5170.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.