PRIME HEALTH CLINIC PLLC
PRIME HEALTH CLINIC PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1710306436, based in Puyallup, WA. The organization lists 2 taxonomy classifications, with Pediatric Gastroenterology Physician recorded as primary.
Getting there
The practice address on file is 1004 E MAIN STE D, Puyallup, WA 98372. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 00035982 | WA | Pediatric Gastroenterology Physician primary |
| 60306063 | WA | Obstetrics & Gynecology Physician |
This provider holds licence 00035982 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4981823051
- Enrollment ID
- O20140923000675
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Gastroenterology covers
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. NUCC Health Care Provider Taxonomy, code 2080P0206X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | 00035982 | WA | primary |
| 207V00000X | Obstetrics & Gynecology Physician | 60306063 | WA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1710306436 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 9, 2014 |
| Last updated | Aug 29, 2021 |
| Status | Active |
| Practice address |
1004 E MAIN STE D Puyallup, WA 98372 (253) 268-0720 Fax (253) 466-7072 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 1 | 0 | 3 | 0 | 6 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 6 | 0 | 3 | 4 | 6 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.