PACIFIC FOOTWEAR COMPANY, INC.
NPI 1871733683
Durable Medical Equipment & Medical Supplies - Customized Equipment in Spokane, WA

NPI Status: Active since March 06, 2009

Contact Information

1010 N NORMANDIE ST
STE 301
SPOKANE, WA
ZIP 99201
Phone: (509) 838-2325
Fax: (509) 747-0337

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PACIFIC FOOTWEAR COMPANY, INC.

This page provides the complete NPI Profile along with additional information for Pacific Footwear Company, Inc., a provider established in Spokane, Washington operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1871733683 assigned on March 2009. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Kevin W Clarke (President)

NPI
1871733683
Provider Legal Name
PACIFIC FOOTWEAR COMPANY, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1010 N NORMANDIE ST STE 301 SPOKANE, WA 99201
Location Phone
(509) 838-2325
Location Fax
(509) 747-0337
Mailing Address
10240 SW NIMBUS AVE SUITE L1 PORTLAND, OR 97223
Mailing Phone
(503) 524-9656
Mailing Fax
(509) 747-0337
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2009
Last Update Date
04-22-2025
Code Navigator



Pacific Footwear Company, Inc. is a medicare supplier with PTAN 24548238 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

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

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

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)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

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.

*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

KEVIN W CLARKE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 524-9656

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
9054784MEDICAID (05)WA 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
24548238
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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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 1871733683, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 4 + 3 + 6 + 6 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1871733683.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871733683, enumerated as an "organization" on March 06, 2009.

The provider is located at 1010 N NORMANDIE ST STE 301 SPOKANE, WA 99201 and the phone number is (509) 838-2325.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

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