PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1386895886
General Acute Care Hospital in Walla Walla, WA

NPI Status: Active since October 02, 2008

Contact Information

401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 897-3320

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance
  • CLIA Number: 50D0885089
  • CLIA Cert. Type: Home Health Agency
  • 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 provider established in Walla Walla, Washington operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1386895886 assigned on October 2008. The practitioner's primary taxonomy code is 282N00000X with license number H-050 (WA). 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 Mr. Donald Wayne Anderson Jr. (Assistant Secretary For Enrollment)

NPI
1386895886
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
401 W POPLAR ST WALLA WALLA, WA 99362
Location Phone
(509) 897-3320
Mailing Address
PO BOX 31001-4110 PASADENA, CA 91110
Mailing Phone
(509) 897-3320
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2008
Last Update Date
05-07-2025
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
H-050
License State
WA
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - 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
  • 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

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

MR. DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY FOR ENROLLMENT
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
008478OTHER (01)WAL&I STATE

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
50D0885089
Facility Type
Home Health Agency
Certificate Effective Date
April 14, 1994
Certificate Expiration Date
April 04, 2028
Laboratory Director
ANN HALSTROM
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.

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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 1386895886, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 8 → 16 → 7 8 → 16 → 7 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 6 + 9 + 1 + 0 + 8 + 1 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1386895886.

Other Providers at the Same Location


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

Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Radiology (Diagnostic Radiology)
401 W POPLAR ST, RADIOLOGY
WALLA WALLA, WA 99362
Specialist
401 W POPLAR ST
WALLA WALLA, WA 99362
Internal Medicine
401 W POPLAR ST, PSMPG HOSPITALISTS
WALLA WALLA, WA 99362
Internal Medicine
401 W POPLAR ST
WALLA WALLA, WA 99362
Emergency Medicine
401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362
Internal Medicine (Pulmonary Disease)
401 W POPLAR ST, PULMONARY MEDICINE
WALLA WALLA, WA 99362
Emergency Medicine
401 W POPLAR ST, EMERGENCY DEPARTMENT
WALLA WALLA, WA 99362
Radiology (Diagnostic Radiology)
401 W POPLAR ST, RADIOLOGY
WALLA WALLA, WA 99362
Internal Medicine
401 W POPLAR ST, HOSPITALISTS
WALLA WALLA, WA 99362
Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Emergency Medicine
401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362
Specialist
401 W POPLAR ST
WALLA WALLA, WA 99362
Internal Medicine
401 W POPLAR ST, HOSPITALISTS
WALLA WALLA, WA 99362
Nurse Practitioner (Family)
401 W POPLAR ST
WALLA WALLA, WA 99362
Nurse Practitioner
401 W POPLAR ST, ST. MARY MEDICAL CENTER, CARDIOLOGY SUITE
WALLA WALLA, WA 99362
Licensed Practical Nurse
401 W POPLAR ST, PALLIATIVE CARE
WALLA WALLA, WA 99362
Radiology (Radiation Oncology)
401 W POPLAR ST, RADIATION ONCOLOGY
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386895886, enumerated as an "organization" on October 02, 2008.

The provider is located at 401 W POPLAR ST WALLA WALLA, WA 99362 and the phone number is (509) 897-3320.

General Acute Care Hospital with taxonomy code 282N00000X.

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