FIFTH AVENUE CLINIC
NPI 1922037530
Clinic/Center - Multi-Specialty in Jerome, ID
NPI Status: Active since July 03, 2006
Contact Information
115 5TH AVE W
JEROME, ID
ZIP 83338
Phone: (208) 324-8831
Fax: (208) 324-6678
- Organization
- Clinic/Center
- Multi-Specialty
About FIFTH AVENUE CLINIC
This page provides the complete NPI Profile along with additional information for Fifth Avenue Clinic, a provider established in Jerome, Idaho operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1922037530 assigned on July 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Fifth Avenue Clinic. The authorized official of this NPI record is Mr. Warren Alan Stevenson (Ceo)
- NPI
- 1922037530
- Provider Legal Name
- ST BENEDICTS FAMILY MEDICAL CENTER
- Other Organization Name
- FIFTH AVENUE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 115 5TH AVE W JEROME, ID 83338
- Location Phone
- (208) 324-8831
- Location Fax
- (208) 324-6678
- Mailing Address
- 115 5TH AVE W JEROME, ID 83338
- Mailing Phone
- (208) 324-8831
- Mailing Fax
- (208) 324-6678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2006
- Last Update Date
- 05-08-2008
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- 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.
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 |
|---|---|---|---|
| ========= | OTHER (01) | ID | TRICARE |
| 000010006293 | OTHER (01) | ID | REGENCE BLUE SHIELD OF ID |
| 8A489 | OTHER (01) | ID | BLUE CROSS OF IDAHO |
| 1252601 | MEDICARE ID-TYPE UNSPECIFIED (04) | ID | CLINIC |
| 002287100 | MEDICAID (05) | ID | |
| 807893400 | MEDICAID (05) | ID |
Reviews for FIFTH AVENUE CLINIC
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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 1922037530, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922037530, enumerated as an "organization" on July 03, 2006.
The provider is located at 115 5TH AVE W JEROME, ID 83338 and the phone number is (208) 324-8831.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Tricare, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
