AVALON CLINIC
NPI 1255544540
Clinic/Center in Lakewood, WA
NPI Status: Active since May 07, 2007
Contact Information
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 582-8486
Fax: (253) 582-2644
- Organization
- Clinic/Center
About AVALON CLINIC
This page provides the complete NPI Profile along with additional information for Avalon Clinic, a provider established in Lakewood, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255544540 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD00011944 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. David A Ekland M.d. (Plastic Surgeon)
- NPI
- 1255544540
- Provider Name
- AVALON CLINIC
- Entity Type
- Organization
- Location Address
- 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
- Location Phone
- (253) 582-8486
- Location Fax
- (253) 582-2644
- Mailing Address
- 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
- Mailing Phone
- (253) 582-8486
- Mailing Fax
- (253) 582-2644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2007
- Last Update Date
- 03-23-2012
- Code Navigator
Location Map
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 No.
- MD00011944
- 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.
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 |
---|---|---|---|
A04434 | MEDICARE UPIN (02) | WA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 5 | 5 | 5 | 4 | 4 | 5 | 4 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 10 | 4 | 8 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 8 + 5 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1255544540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
AVALON CLINIC
Clinic/Center
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
AVALON CLINIC
Clinic/Center
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
DR. DAVID EKLAND M.D.
Specialist
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
AMANDA NICHOLSON
Counselor
(Mental Health)
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
MYRIAM MAMPENGU
Case Manager/Care Coordinator
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
OLIVIA NOELLE DOMINGO LSWAIC
Social Worker
(Clinical)
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
MOISES LOZACRUZ MSW
Social Worker
(Clinical)
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
ERVA HOPSON
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
RACHEL WERTS
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
JESSICA BURGANS
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
KELLEN SMALLEY
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
TAMMY SMITH-BROWN
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
MICHAEL VERDONK
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
JENNIFER BRINK
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
EVA NORTHCUTT
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
MASON CULBERTSON
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
ANITA LIANG
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
KATHY HASKINS
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
MARIZA MENDIOLA-PORTER
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
JAMARLON LATHAM
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255544540, enumerated as an "organization" on May 07, 2007.
The provider is located at 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 and the phone number is (253) 582-8486.
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.