ROCKY FORD CLINIC
NPI 1104813682
Clinic/center, Dental in Rocky Ford,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 30, 2005

Contact Information

903 S 12th St
Rocky Ford,
Post Code: 81067
Phone: (719) 254-7623
Fax: (719) 254-5112

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Rocky Ford Clinic in Rocky Ford - Clinic/Center, Dental

Rocky Ford Clinic is a Clinic/Center, Dental in Rocky Ford, . Rocky Ford Clinic practices all healthcare services and medical treatments related to Clinic/Center, Dental. The NPI Number for Rocky Ford Clinic is 1104813682. The last update date is 2024-05-10.

Rocky Ford Clinic's current location address is 903 S 12th St, Rocky Ford, . You can contact this provider via phone number (719) 254-7623 and fax number (719) 254-5112. The mailing address for Rocky Ford Clinic is 903 S 12th St, Rocky Ford, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104813682
Provider Legal Name
VALLEY-WIDE HEALTH SYSTEMS, INC
Other Organization Name
ROCKY FORD CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
903 S 12th St, Rocky Ford,
Location Phone
(719) 254-7623
Location Fax
(719) 254-5112
Mailing Address
128 Market St, Alamosa, Colorado(CO)
Mailing Phone
719-589-5161
Mailing Fax
-
Enumeration Date
2005-09-30
Last Update Date
2024-05-10
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
Colorado (CO)
Taxonomy Description
-

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)
1 261QD0000X Dental Clinic/Center

Clinic/Center, Dental

()

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
04280270 MEDICAID (05) Colorado (CO)
CE 9669 Other (non-Medicare) (01) Colorado (CO) Travelers Medicare Number
VAC 4808 Other (non-Medicare) (01) Colorado (CO) Anthem BCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104813682
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041616616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21041616616
2 + 1 + 0 + 4 + 1 + 6 + 1 + 6 + 6 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1104813682 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1063415156 DANIEL G COSTELLO
Individual
Physician Assistant 1526 COLE BLVD STE 300
LAKEWOOD, Colorado (CO)
303-379-9371
1043213929 ALI MOHAMMED SARRAM
Individual
Specialist 11960 LIONESS WAY
PARKER, Colorado (CO)
303-695-8706
1083617906 CHAD ALAN CLARK
Individual
Physical Therapist 58 GLENROYAL DR
PUEBLO, Colorado (CO)
719-565-6678
1063415560 LUCINDA TACHA
Individual
Social Worker 820 1ST ST.
LIMON, Colorado (CO)
719-775-2367