PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1073677605
Rehabilitation, Substance Use Disorder Unit in Shelton, WA
NPI Status: Active since December 20, 2006
Contact Information
506 W FRANKLIN ST
SHELTON, WA
ZIP 98584
Phone: (360) 432-8692
- Organization
- Rehabilitation, Substance Use Disorder U...
- CLIA Number: 50D2317681
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 04-04-2028
About PROVIDENCE HEALTH & SERVICES - WASHINGTON
This page provides the complete NPI Profile along with additional information for Providence Health & Services - Washington, a provider established in Shelton, Washington operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1073677605 assigned on December 2006. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1073677605
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 506 W FRANKLIN ST SHELTON, WA 98584
- Location Phone
- (360) 432-8692
- Mailing Address
- 909 N BROADWAY PBO/CREDENTIALING EVERETT, WA 98201
- Mailing Phone
- (425) 317-0246
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2006
- Last Update Date
- 05-13-2025
- 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
Rehabilitation, Substance Use Disorder Unit
- Taxonomy Code
- 276400000X
- Type
- Hospital Units
- Taxonomy Description
- A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2317681
- Facility Type
- Hospice
- Certificate Effective Date
- January 29, 2025
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TINA FORGEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Health & Services - Washington to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1073677605, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
SHELTON, WA 98584
SHELTON, WA 98584
SHELTON, WA 98584
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073677605, enumerated as an "organization" on December 20, 2006.
The provider is located at 506 W FRANKLIN ST SHELTON, WA 98584 and the phone number is (360) 432-8692.
Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.
