PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1215431697
Clinic/Center in Lacey, WA

NPI Status: Active since March 21, 2018

Contact Information

4800 COLLEGE ST SE
LACEY, WA
ZIP 98503
Phone: (360) 493-7567
Fax: (360) 412-6468

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a provider established in Lacey, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215431697 assigned on March 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1215431697
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4800 COLLEGE ST SE LACEY, WA 98503
Location Phone
(360) 493-7567
Location Fax
(360) 412-6468
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(360) 493-7567
Mailing Fax
(360) 412-6468
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2018
Last Update Date
05-12-2025
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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
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:

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - 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

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp servic

The Medicare Diabetes Prevention Program (MDPP) is designed to prevent the onset of type 2 diabetes. The first core session attended by a beneficiary is part of the initial 6-month stage. These sessions, provided by an MDPP supplier, offer education and support to reduce diabetes risk.

This service was performed 14 times for 14 patients

Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp

The Medicare Diabetes Prevention Program (MDPP) is a service designed to help beneficiaries prevent type 2 diabetes. Under the expanded model, a beneficiary attended four core sessions in the first 6 months. These sessions are provided by MDPP suppliers and offer guidance on healthy lifestyle changes.

This service was performed 13 times for 13 patients

Reviews for PROVIDENCE HEALTH & SERVICES WASHINGTON

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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 1215431697, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 8 + 3 + 2 + 6 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1215431697.

Other Providers at the Same Location


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

Clinical Medical Laboratory
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Family Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor (Addiction (Substance Use Disorder))
4800 COLLEGE ST SE
LACEY, WA 98503
Nurse Practitioner
4800 COLLEGE ST SE
LACEY, WA 98503
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4800 COLLEGE ST SE
LACEY, WA 98503
Internal Medicine (Rheumatology)
4800 COLLEGE ST SE
LACEY, WA 98503
Family Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Family Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215431697, enumerated as an "organization" on March 21, 2018.

The provider is located at 4800 COLLEGE ST SE LACEY, WA 98503 and the phone number is (360) 493-7567.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.