COWLITZ TRIBAL TREATMENT
NPI 1164649679
Clinic/Center - Rehabilitation, Substance Use Disorder in Vancouver, WA

NPI Status: Active since April 19, 2007

Contact Information

7700 NE 26TH AVE
VANCOUVER, WA
ZIP 98665
Phone: (360) 397-8228
Fax: (360) 575-1950

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 50D2229759
  • CLIA Cert. Type: Other - DRUG TREATMENT
  • CLIA Exp. Date: 04-04-2028

About COWLITZ TRIBAL TREATMENT

This page provides the complete NPI Profile along with additional information for Cowlitz Tribal Treatment, a provider established in Vancouver, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1164649679 assigned on April 2007. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cowlitz Tribal Treatment operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Cowlitz Tribal Treatment. The authorized official of this NPI record is Shavon Keller (Billing Supervisor)

NPI
1164649679
Provider Legal Name
COWLITZ INDIAN TRIBE
Other Organization Name
COWLITZ TRIBAL TREATMENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7700 NE 26TH AVE VANCOUVER, WA 98665
Location Phone
(360) 397-8228
Location Fax
(360) 575-1950
Mailing Address
P.O. BOX 2429 LONGVIEW, WA 98632
Mailing Phone
(360) 397-8228
Mailing Fax
(360) 575-1950
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-19-2007
Last Update Date
07-22-2024
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Location Map

Secondary Locations

  • 900 Fir St
    Longview, WA 98632
    (360) 575-3316

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

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Individual Connect - EPO
  • Silver 6500 Legacy - EPO

*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

SHAVON KELLER

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(360) 353-9431

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
50D2229759
Facility Type
Other - DRUG TREATMENT
Certificate Effective Date
July 15, 2021
Certificate Expiration Date
April 04, 2028
Laboratory Director
LORI RYAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cowlitz Tribal Treatment 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.

Reviews for COWLITZ TRIBAL TREATMENT

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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 1164649679, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
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 6 → 12 → 3 6 → 12 → 3 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 + 1 + 1 + 2 + 4 + 1 + 2 + 4 + 1 + 8 + 6 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164649679.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker (Clinical)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Nurse Practitioner (Psychiatric/Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Preventive Medicine (Public Health & General Preventive Medicine)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Counselor (Addiction (Substance Use Disorder))
7700 NE 26TH AVE
VANCOUVER, WA 98665
Social Worker (Clinical)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665
Counselor (Addiction (Substance Use Disorder))
7700 NE 26TH AVE
VANCOUVER, WA 98665
Counselor (Mental Health)
7700 NE 26TH AVE
VANCOUVER, WA 98665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164649679, enumerated as an "organization" on April 19, 2007.

The provider is located at 7700 NE 26TH AVE VANCOUVER, WA 98665 and the phone number is (360) 397-8228.

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

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.