PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1407162571
Internal Medicine - Cardiovascular Disease in Odessa, WA

NPI Status: Active since August 26, 2010

Contact Information

510 E AMENDE DRIVE
ODESSA, WA
ZIP 99159
Phone: (509) 982-2614

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About PROVIDENCE HEALTH & SERVICES - WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Washington, an internist established in Odessa, Washington operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1407162571 assigned on August 2010. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services - Washington operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1407162571
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
510 E AMENDE DRIVE ODESSA, WA 99159
Location Phone
(509) 982-2614
Mailing Address
122 W 7TH AVE SPOKANE, WA 99204
Mailing Phone
(509) 838-7711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2010
Last Update Date
08-01-2025
Code Navigator

An internist like Providence Health & Services - Washington is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 09-20-1994 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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 WAYNE ANDERSON JR.

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

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • PROVIDENCE HEALTH & SERVICES - WASHINGTON has an ownership type of Non-profit
  • The facility received it's medicare certification date on 09-20-1994
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions78
Brain disease or condition (non-traumatic)65
Brain injury (traumatic)44
Hip or femur fracture25
Hip or knee replacement, amputation or other bone or joint condition81
Nervous system disorder (excluding stroke)25
Spinal cord disease or condition (non-traumatic)38
Spinal cord injury (traumatic)11
Stroke303

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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 1407162571, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 2 + 6 + 4 + 5 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1407162571.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407162571, enumerated as an "organization" on August 26, 2010.

The provider is located at 510 E AMENDE DRIVE ODESSA, WA 99159 and the phone number is (509) 982-2614.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.