SQUAXIN ISLAND TRIBE
NPI 1114135779
Clinic/Center in Shelton, WA

NPI Status: Active since May 18, 2007

Contact Information

90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006

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  • Organization
  • Clinic/Center

About SQUAXIN ISLAND TRIBE

This page provides the complete NPI Profile along with additional information for Squaxin Island Tribe, a provider established in Shelton, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114135779 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Squaxin Island Tribe. The authorized official of this NPI record is Whitney Jones (Director)

NPI
1114135779
Provider Legal Name
SQUAXIN ISLAND MEDICAID ENCOUNTER
Other Organization Name
SQUAXIN ISLAND TRIBE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
90 SE KLAH CHE MIN DR SHELTON, WA 98584
Location Phone
(360) 427-9006
Mailing Address
90 SE KLAH CHE MIN DR SHELTON, WA 98584
Mailing Phone
(360) 427-9006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2007
Last Update Date
08-22-2020
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
WA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

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

WHITNEY JONES

Authorized Official Title
DIRECTOR
Authorized Official Phone
(360) 427-9006

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
7003767MEDICAID (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 1114135779, 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 1 → 2 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 3 + 1 + 0 + 7 + 1 + 4 + 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 1114135779.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Physician Assistant (Medical)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Dental Hygienist
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Counselor (Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Pharmacist
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Pharmacist
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Clinic/Center (Health Service)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Clinic/Center (Rehabilitation, Substance Use Disorder)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Clinic/Center (Health Service)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Nurse Practitioner
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114135779, enumerated as an "organization" on May 18, 2007.

The provider is located at 90 SE KLAH CHE MIN DR SHELTON, WA 98584 and the phone number is (360) 427-9006.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.