KLICKITAT VALLEY HOSPITAL
NPI 1093879975
Medicare Defined Swing Bed Unit in Goldendale, WA

NPI Status: Active since December 21, 2006

Contact Information

310 S ROOSEVELT AVE
GOLDENDALE, WA
ZIP 98620
Phone: (509) 773-4022
Fax: (509) 773-1941

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Medicare Defined Swing Bed Unit
Accepts Insurance
CLIA Number: 50D0681568
CLIA Cert. Type: Hospital
CLIA Exp. Date: 04-04-2028

About KLICKITAT VALLEY HOSPITAL

This page provides the complete NPI Profile along with additional information for Klickitat Valley Hospital, a provider established in Goldendale, Washington operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1093879975 assigned on December 2006. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Klickitat Valley Hospital. The authorized official of this NPI record is Sharon Cox (Ceo)

NPI: 1093879975
Provider Legal Name: KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO1
Other Organization Name: KLICKITAT VALLEY HOSPITAL
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 310 S ROOSEVELT AVE GOLDENDALE, WA 98620
Location Phone: (509) 773-4022
Location Fax: (509) 773-1941
Mailing Address: 310 S ROOSEVELT AVE GOLDENDALE, WA 98620
Mailing Phone: (509) 773-4022
Mailing Fax: (509) 773-1941
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-21-2006
Last Update Date: 08-22-2020
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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: Medicare Defined Swing Bed Unit
Taxonomy Code: 275N00000X
Type: Hospital Units
License State: WA
Taxonomy Description: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

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

PacificSource Health Plans

Core Bronze HSA 10600 - EPO
Core Bronze HSA 7500 - EPO
Core Bronze HSA 8300 - EPO
Core Gold 1500 - EPO
Core Gold 3000 - EPO
Core Silver 3500 - EPO
Core Silver 4500 - EPO
Core Silver 5000 - EPO
Core Silver 7500 - EPO
Core Standard Expanded Bronze HSA - EPO
Core Standard Gold - EPO
Core Standard Silver - EPO
PacificSource Oregon Standard Bronze HSA Plan Core - EPO
PacificSource Oregon Standard Gold Plan Core - EPO
PacificSource Oregon Standard Silver Plan Core - EPO

Premera Blue Cross Blue Shield of Alaska

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

*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: SHARON COX
Authorized Official Title: CEO
Authorized Official Phone: (509) 773-4022

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: 50D0681568
Facility Type: Hospital
Certificate Effective Date: November 01, 1993
Certificate Expiration Date: April 04, 2028
Laboratory Director: DANIEL TOWEILL
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Klickitat Valley Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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 1093879975, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

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 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 6 + 7 + 1 + 8 + 9 + 1 + 4 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1093879975.