SNOQUALMIE INDIAN TRIBE
NPI 1043873722
Preventive Medicine - Public Health & General Preventive Medicine in Snoqualmie, WA

NPI Status: Active since April 17, 2019

Contact Information

9575 ETHAN WADE WAY SE
SNOQUALMIE, WA
ZIP 98065
Phone: (425) 831-5425
Fax: (425) 831-5428

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  • Organization
  • Preventive Medicine
  • Public Health & General Preventive Medic...
  • Accepts Insurance

About SNOQUALMIE INDIAN TRIBE

This page provides the complete NPI Profile along with additional information for Snoqualmie Indian Tribe, a provider established in Snoqualmie, Washington operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1043873722 assigned on April 2019. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jean Medina (Compliance Manager)

NPI
1043873722
Provider Name
SNOQUALMIE INDIAN TRIBE
Entity Type
Organization
Location Address
9575 ETHAN WADE WAY SE SNOQUALMIE, WA 98065
Location Phone
(425) 831-5425
Location Fax
(425) 831-5428
Mailing Address
PO BOX 969 ATTN COMPLIANCE MANAGER SNOQUALMIE, WA 98065
Mailing Phone
(425) 831-5425
Mailing Fax
(425) 831-5428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2019
Last Update Date
07-25-2022
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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

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

JEAN MEDINA

Authorized Official Title
COMPLIANCE MANAGER
Authorized Official Phone
(425) 831-5425

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
2137735MEDICAID (05)WA 

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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 1043873722, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 4 → 8 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 6 + 7 + 6 + 7 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043873722.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Nurse Practitioner
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Physical Therapy Assistant
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Physical Therapist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Occupational Therapy Assistant
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Occupational Therapist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Rehabilitation Hospital
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Dietitian, Registered
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Physical Therapy Assistant
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Speech-Language Pathologist
9575 ETHAN WADE WAY SE, SNOQUALMIE VALLEY HOSPITAL
SNOQUALMIE, WA 98065
Physical Therapist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Speech-Language Pathologist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Nurse Practitioner (Family)
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Family Medicine
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Speech-Language Pathologist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Family Medicine
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Counselor (Addiction (Substance Use Disorder))
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Counselor (Addiction (Substance Use Disorder))
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Counselor (Mental Health)
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
Counselor (Mental Health)
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043873722, enumerated as an "organization" on April 17, 2019.

The provider is located at 9575 ETHAN WADE WAY SE SNOQUALMIE, WA 98065 and the phone number is (425) 831-5425.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.