PROVIDENCE SURGERY AND PROCEDURE CENTER LLC
NPI 1205545860
Clinic/Center - Ambulatory Surgical in Spokane Valley, WA

NPI Status: Active since November 22, 2022

Contact Information

16528 E DESMET CT
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 944-8960

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 50D2087148
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-04-2028

About PROVIDENCE SURGERY AND PROCEDURE CENTER LLC

This page provides the complete NPI Profile along with additional information for Providence Surgery And Procedure Center Llc, a provider established in Spokane Valley, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205545860 assigned on November 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jonathan Bailey (Officer/authorized Official)

NPI
1205545860
Provider Name
PROVIDENCE SURGERY AND PROCEDURE CENTER LLC
Entity Type
Organization
Location Address
16528 E DESMET CT SPOKANE VALLEY, WA 99216
Location Phone
(509) 944-8960
Mailing Address
16528 E DESMET CT STE A2100 SPOKANE VALLEY, WA 99216
Mailing Phone
(509) 944-8960
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2022
Last Update Date
10-11-2024
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

*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

JONATHAN BAILEY

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(203) 609-1168

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
50D2087148
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 05, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
BRYAN MITCHELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Surgery And Procedure Center Llc 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 1205545860, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 0 + 4 + 1 + 0 + 8 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205545860.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant (Medical)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Occupational Therapist (Hand)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Orthopaedic Surgery (Hand Surgery)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Nurse Practitioner
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Preventive Medicine (Aerospace Medicine)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Nurse Practitioner
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Social Worker (Clinical)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Pediatrics
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant (Medical)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Nurse Practitioner (Pediatrics)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Nurse Practitioner (Family)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Occupational Therapist
16528 E DESMET CT
SPOKANE VALLEY, WA 99216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205545860, enumerated as an "organization" on November 22, 2022.

The provider is located at 16528 E DESMET CT SPOKANE VALLEY, WA 99216 and the phone number is (509) 944-8960.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.