COWLITZ INDIAN TRIBE
NPI 1861722258
Clinic/Center - Health Service in Toledo, WA

NPI Status: Active since January 06, 2010

Contact Information

107 SPENCER RD
TOLEDO, WA
ZIP 98591
Phone: (360) 353-9431
Fax: (360) 353-9440

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 50D2069578
  • CLIA Cert. Type: Other - TRIBAL CLINIC
  • 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 Toledo, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1861722258 assigned on January 2010. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Shavon Keller (Billing Supervisor)

NPI
1861722258
Provider Name
COWLITZ INDIAN TRIBE
Entity Type
Organization
Location Address
107 SPENCER RD TOLEDO, WA 98591
Location Phone
(360) 353-9431
Location Fax
(360) 353-9440
Mailing Address
PO BOX 2429 LONGVIEW, WA 98632
Mailing Phone
(360) 353-9431
Mailing Fax
(360) 353-9440
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-06-2010
Last Update Date
07-16-2018
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Location Map

Secondary Locations

  • 1 Cowlitz Way
    Ridgefield, WA 98642
    (360) 575-8275

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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

SHAVON KELLER

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(360) 353-9431

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
50D2069578
Facility Type
Other - TRIBAL CLINIC
Certificate Effective Date
November 27, 2013
Certificate Expiration Date
April 04, 2028
Laboratory Director
LYNELLE NOISY HAWK
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.

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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 1861722258, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 6 → 12 → 3 7 → 14 → 5 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 4 + 2 + 4 + 2 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1861722258.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861722258, enumerated as an "organization" on January 06, 2010.

The provider is located at 107 SPENCER RD TOLEDO, WA 98591 and the phone number is (360) 353-9431.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.