CONQUER
NPI 1255001624
Clinic/Center - Multi-Specialty in Monroe, WA
NPI Status: Active since September 17, 2021
Contact Information
809 W MAIN ST STE C
MONROE, WA
ZIP 98272
Phone: (206) 552-0882
Fax: (844) 440-2147
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 50D2331135
- CLIA Cert. Type: Other - CITY JAIL
- CLIA Exp. Date: 04-04-2028
About CONQUER
This page provides the complete NPI Profile along with additional information for Conquer, a provider established in Monroe, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1255001624 assigned on September 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Conquer. The authorized official of this NPI record is Jacob Grillo Mba, Pa-c (Ceo)
- NPI
- 1255001624
- Provider Legal Name
- CONQUER ADDICTION PLLC
- Other Organization Name
- CONQUER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 809 W MAIN ST STE C MONROE, WA 98272
- Location Phone
- (206) 552-0882
- Location Fax
- (844) 440-2147
- Mailing Address
- 809 W MAIN ST STE C MONROE, WA 98272
- Mailing Phone
- (206) 552-0882
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-17-2021
- Last Update Date
- 10-11-2024
- Code Navigator
Location Map
Secondary Locations
- 791 SE Barrington Dr
Oak Harbor, WA 98277
(206) 552-0882
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 344600000X | Transportation Services | Taxi |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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
- 50D2331135
- Facility Type
- Other - CITY JAIL
- Certificate Effective Date
- September 26, 2025
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JACOB GRILLO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Conquer 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 CONQUER
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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 1255001624, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MONROE, WA 98272
MONROE, WA 98272
MONROE, WA 98272
MONROE, WA 98272
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255001624, enumerated as an "organization" on September 17, 2021.
The provider is located at 809 W MAIN ST STE C MONROE, WA 98272 and the phone number is (206) 552-0882.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
