PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1306391446
General Practice in Spokane, WA

NPI Status: Active since August 18, 2016

Contact Information

2923 E 29TH AVE
SPOKANE, WA
ZIP 99223
Phone: (509) 626-9820

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  • Organization
  • General Practice
  • Accepts Insurance
  • CLIA Number: 50D2121119
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a primary care provider established in Spokane, Washington operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1306391446 assigned on August 2016. The practitioner's primary taxonomy code is 208D00000X. 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 W Anderson Jr. (Director Reimbursement Administrati)

NPI
1306391446
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2923 E 29TH AVE SPOKANE, WA 99223
Location Phone
(509) 626-9820
Mailing Address
PO BOX 421 LIBERTY LAKE, WA 99019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2016
Last Update Date
05-05-2025
Code Navigator

A primary care provider (PCP) like Providence Health & Services Washington sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Choice 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 W ANDERSON JR.

Authorized Official Title
DIRECTOR REIMBURSEMENT ADMINISTRATI
Authorized Official Phone
(425) 358-9786

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
50D2121119
Facility Type
Community Clinic
Certificate Effective Date
October 31, 2016
Certificate Expiration Date
April 04, 2028
Laboratory Director
OLUBANKE BABALOLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Health & Services Washington 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 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 1306391446, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
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 3 → 6 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 6 + 9 + 2 + 4 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306391446.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
2923 E 29TH AVE
SPOKANE, WA 99223
Nurse Practitioner
2923 E 29TH AVE
SPOKANE, WA 99223
Physician Assistant
2923 E 29TH AVE
SPOKANE, WA 99223
Physician Assistant
2923 E 29TH AVE
SPOKANE, WA 99223
Nurse Practitioner (Family)
2923 E 29TH AVE
SPOKANE, WA 99223
Physician Assistant
2923 E 29TH AVE
SPOKANE, WA 99223
Nurse Practitioner (Psychiatric/Mental Health)
2923 E 29TH AVE
SPOKANE, WA 99223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306391446, enumerated as an "organization" on August 18, 2016.

The provider is located at 2923 E 29TH AVE SPOKANE, WA 99223 and the phone number is (509) 626-9820.

General Practice with taxonomy code 208D00000X.

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