PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1306097126
Radiology - Diagnostic Radiology in Walla Walla, WA

NPI Status: Active since October 10, 2008

Contact Information

401 W POPLAR STREET
PMG SE WA IMAGING
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5850
Fax: (509) 526-8402

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • 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 Walla Walla, Washington operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1306097126 assigned on October 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year 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 . The authorized official of this NPI record is Donald W. Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1306097126
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
401 W POPLAR STREET PMG SE WA IMAGING WALLA WALLA, WA 99362
Location Phone
(509) 522-5850
Location Fax
(509) 526-8402
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(509) 529-8905
Mailing Fax
(509) 526-8402
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-10-2008
Last Update Date
05-06-2025
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • 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

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.

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 W. ANDERSON JR.

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

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
191431900OTHER (01)WAL&I FEDERAL
7138118MEDICAID (05)WA 
222605OTHER (01)WAL&I STATE

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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 1306097126, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 0 + 9 + 1 + 4 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306097126.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
401 W POPLAR STREET
WALLA WALLA, WA 99362
Radiology (Radiation Oncology)
401 W POPLAR STREET, PMG SE WA RADIATION ONCOLOGY
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306097126, enumerated as an "organization" on October 10, 2008.

The provider is located at 401 W POPLAR STREET PMG SE WA IMAGING WALLA WALLA, WA 99362 and the phone number is (509) 522-5850.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.