JAMESTOWN S'KLALLAM TRIBE
NPI 1104901941
Clinic/Center - Rehabilitation, Substance Use Disorder in Sequim, WA

NPI Status: Active since October 26, 2006

Contact Information

526 S 9TH AVE
SEQUIM, WA
ZIP 98382
Phone: (360) 681-7755
Fax: (360) 681-5999

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance

About JAMESTOWN S'KLALLAM TRIBE

This page provides the complete NPI Profile along with additional information for Jamestown S'klallam Tribe, a provider established in Sequim, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1104901941 assigned on October 2006. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's . The authorized official of this NPI record is W. Ron Allen (Tribal Chairman/executive Director)

NPI
1104901941
Provider Legal Name
JAMESTOWN S'KLALLAM TRIBE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
526 S 9TH AVE SEQUIM, WA 98382
Location Phone
(360) 681-7755
Location Fax
(360) 681-5999
Mailing Address
526 S 9TH AVE SEQUIM, WA 98382
Mailing Phone
(360) 681-7755
Mailing Fax
(360) 681-5999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2006
Last Update Date
04-15-2026
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

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

W. RON ALLEN

Authorized Official Title
TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR
Authorized Official Phone
(360) 683-1109

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
1981141MEDICAID (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 1104901941, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 0 → 0 9 → 18 → 9 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 0 + 2 + 9 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104901941.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist
526 S 9TH AVE
SEQUIM, WA 98382
Counselor (Addiction (Substance Use Disorder))
526 S 9TH AVE
SEQUIM, WA 98382
Marriage & Family Therapist
526 S 9TH AVE
SEQUIM, WA 98382
Clinic/Center (Federally Qualified Health Center (FQHC))
526 S 9TH AVE
SEQUIM, WA 98382

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104901941, enumerated as an "organization" on October 26, 2006.

The provider is located at 526 S 9TH AVE SEQUIM, WA 98382 and the phone number is (360) 681-7755.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

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.