PROV CENTRLIA INTERNAL MEDICINE
NPI 1003009259
Internal Medicine - Medical Oncology in Centralia, WA

NPI Status: Active since August 21, 2007

Contact Information

2015 COOKS HILL RD
SUITE 200
CENTRALIA, WA
ZIP 98531
Phone: (360) 330-8939
Fax: (360) 330-8916

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  • Organization
  • Internal Medicine
  • Medical Oncology

About PROV CENTRLIA INTERNAL MEDICINE

Prov Centrlia Internal Medicine is an internist established in Centralia, Washington operating as a Internal Medicine with a focus in medical oncology . The healthcare provider is registered in the NPI registry with number 1003009259 assigned on August 2007. The practitioner's primary taxonomy code is 207RX0202X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Prov Centrlia Internal Medicine. The authorized official of this NPI record is Nicole Quinn (Payor Credentialing Manager)

NPI
1003009259
Provider Legal Name
PROVIDENCE HEALTH & SERVICE - WASHINGTON
Other Organization Name
PROV CENTRLIA INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2015 COOKS HILL RD SUITE 200 CENTRALIA, WA 98531
Location Phone
(360) 330-8939
Location Fax
(360) 330-8916
Mailing Address
PO BOX 34439 SEATTLE, WA 98124
Mailing Phone
(425) 525-6778
Mailing Fax
(360) 330-8916
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
08-21-2007
Last Update Date
12-22-2010
Code Navigator

An internist like Prov Centrlia Internal Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Medical Oncology

Taxonomy Code
207RX0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*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

NICOLE QUINN

Authorized Official Title
PAYOR CREDENTIALING MANAGER
Authorized Official Phone
(425) 525-6715

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
7139785MEDICAID (05)WA 
G8869645MEDICARE PIN (08)WA 

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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.
1003009259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030018210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 2 + 1 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003009259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003009259, enumerated in the NPI registry as an "organization" on August 21, 2007

The provider is located at 2015 Cooks Hill Rd Suite 200 Centralia, Wa 98531 and the phone number is (360) 330-8939

This medical organization specializes in Internal Medicine with taxonomy code 207RX0202X with a focus in Medical Oncology

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.