BODAWAY/GAP CHAPTER HOUSE-DENTAL
NPI 1780937482
Clinic/Center in Gap, AZ
NPI Status: Active since October 18, 2012
Contact Information
HIGHWAY 89 AT MILE POST 498
BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045
GAP, AZ
ZIP 86020
Phone: (928) 283-2501
Fax: (928) 283-2677
- Organization
- Clinic/Center
- CLIA Number: 03D2156737
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 10-23-2026
About BODAWAY/GAP CHAPTER HOUSE-DENTAL
This page provides the complete NPI Profile along with additional information for Bodaway/gap Chapter House-dental, a provider established in Gap, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1780937482 assigned on October 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Bodaway/gap Chapter House-dental. The authorized official of this NPI record is Joseph T Engelken (Ceo)
- NPI
- 1780937482
- Provider Legal Name
- TCRHCC MOBILE HEALTHCARE VAN SYSTEM
- Other Organization Name
- BODAWAY/GAP CHAPTER HOUSE-DENTAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- HIGHWAY 89 AT MILE POST 498 BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045 GAP, AZ 86020
- Location Phone
- (928) 283-2501
- Location Fax
- (928) 283-2677
- Mailing Address
- PO BOX 600 BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045 TUBA CITY, AZ 86045
- Mailing Phone
- (928) 283-2781
- Mailing Fax
- (928) 283-2677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-18-2012
- Last Update Date
- 10-22-2012
- Code Navigator
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
- 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).
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
- 03D2156737
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- October 24, 2024
- Certificate Expiration Date
- October 23, 2026
- Laboratory Director
- MATTHEW DAAB
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bodaway/gap Chapter House-dental 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 BODAWAY/GAP CHAPTER HOUSE-DENTAL
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1780937482, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GAP, AZ 86020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780937482, enumerated as an "organization" on October 18, 2012.
The provider is located at HIGHWAY 89 AT MILE POST 498 BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045 GAP, AZ 86020 and the phone number is (928) 283-2501.
Clinic/Center with taxonomy code 261Q00000X.
