PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
NPI 1407283179
Family Medicine in Sedro Woolley, WA

NPI Status: Active since September 26, 2013

Contact Information

1990 HOSPITAL DR
SEDRO WOOLLEY, WA
ZIP 98284
Phone: (360) 856-8810
Fax: (360) 714-2520

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  • Organization
  • Family Medicine
  • Accepts Insurance

About PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY

This page provides the complete NPI Profile along with additional information for Peacehealth Medical Group - Sedro Woolley, a primary care provider established in Sedro Woolley, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1407283179 assigned on September 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Peacehealth Medical Group - Sedro Woolley operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Peacehealth Medical Group - Sedro Woolley. The authorized official of this NPI record is Mr. Kimberly A Hodgkinson (Evp Cfo)

NPI
1407283179
Provider Legal Name
PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
Other Organization Name
PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1990 HOSPITAL DR SEDRO WOOLLEY, WA 98284
Location Phone
(360) 856-8810
Location Fax
(360) 714-2520
Mailing Address
1115 SE 164TH AVE DEPT 358 VANCOUVER, WA 98683
Mailing Phone
(360) 729-1411
Mailing Fax
(360) 714-2520
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2013
Last Update Date
08-21-2018
Code Navigator

A primary care provider (PCP) like Peacehealth Medical Group - Sedro Woolley 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 .

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is government and was certified on 07-01-2019 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

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. KIMBERLY A HODGKINSON

Authorized Official Title
EVP CFO
Authorized Official Phone
(360) 729-1145

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
2036892MEDICAID (05)WA 

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.

  • PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY has an ownership type of Government
  • The facility received it's medicare certification date on 07-01-2019
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions25
Brain disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture19
Hip or knee replacement, amputation or other bone or joint condition16
Nervous system disorder (excluding stroke)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke109

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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 1407283179, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 2 → 4 3 → 6 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 + 4 + 8 + 6 + 1 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1407283179.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
1990 HOSPITAL DR, SUITE 100
SEDRO WOOLLEY, WA 98284
Nurse Practitioner (Family)
1990 HOSPITAL DR, SUITE 100
SEDRO WOOLLEY, WA 98284
Physician Assistant
1990 HOSPITAL DR, SUITE 200
SEDRO WOOLLEY, WA 98284
Internal Medicine
1990 HOSPITAL DR, SUITE 200
SEDRO WOOLLEY, WA 98284
General Practice
1990 HOSPITAL DR, SUITE 200
SEDRO WOOLLEY, WA 98284

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407283179, enumerated as an "organization" on September 26, 2013.

The provider is located at 1990 HOSPITAL DR SEDRO WOOLLEY, WA 98284 and the phone number is (360) 856-8810.

Family Medicine with taxonomy code 207Q00000X.

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