JEFFERSON HEALTHCARE SWINGBED
NPI 1104950039
Medicare Defined Swing Bed Unit in Port Townsend, WA

NPI Status: Active since March 15, 2007

Contact Information

834 SHERIDAN AVE
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-2200
Fax: (360) 379-4381

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  • Organization
  • Medicare Defined Swing Bed Unit
  • CLIA Number: 50D0635365
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-04-2028

About JEFFERSON HEALTHCARE SWINGBED

This page provides the complete NPI Profile along with additional information for Jefferson Healthcare Swingbed, a provider established in Port Townsend, Washington operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1104950039 assigned on March 2007. The practitioner's primary taxonomy code is 275N00000X with license number H085000033 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Jefferson Healthcare Swingbed. The authorized official of this NPI record is Mike Glenn (Ceo)

NPI
1104950039
Provider Legal Name
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other Organization Name
JEFFERSON HEALTHCARE SWINGBED
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
834 SHERIDAN AVE PORT TOWNSEND, WA 98368
Location Phone
(360) 385-2200
Location Fax
(360) 379-4381
Mailing Address
834 SHERIDAN AVE PORT TOWNSEND, WA 98368
Mailing Phone
(360) 385-2200
Mailing Fax
(360) 379-4381
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
10-29-2020
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
H085000033
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.

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

MIKE GLENN

Authorized Official Title
CEO
Authorized Official Phone
(360) 385-2200

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
50D0635365
Facility Type
Hospital
Certificate Effective Date
July 21, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
ROBERT BUTTERFIELD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jefferson Healthcare Swingbed 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 1104950039, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 0 → 0 3 → 6

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 + 5 + 0 + 0 + 6 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104950039.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
834 SHERIDAN AVE
PORT TOWNSEND, WA 98368
Dietitian, Registered
834 SHERIDAN AVE
PORT TOWNSEND, WA 98368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104950039, enumerated as an "organization" on March 15, 2007.

The provider is located at 834 SHERIDAN AVE PORT TOWNSEND, WA 98368 and the phone number is (360) 385-2200.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.