PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1407945389
Community Based Residential Treatment Facility, Mental Illness in Anchorage, AK

NPI Status: Active since October 11, 2006

Contact Information

3760 PIPER ST
SUITE LL 139
ANCHORAGE, AK
ZIP 99508
Phone: (907) 563-5006
Fax: (907) 563-3217

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  • Organization
  • Community Based Residential Treatment Fa...
  • 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 Anchorage, Alaska operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1407945389 assigned on October 2006. The practitioner's primary taxonomy code is 320800000X with license number NOT NUMBERED (AK). 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
1407945389
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3760 PIPER ST SUITE LL 139 ANCHORAGE, AK 99508
Location Phone
(907) 563-5006
Location Fax
(907) 563-3217
Mailing Address
PO BOX 4105 PORTLAND, OR 97208
Mailing Phone
(866) 907-1068
Mailing Fax
(907) 563-3217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2006
Last Update Date
05-12-2025
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
NOT NUMBERED
License State
AK
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
22084P0802XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Psychiatry

 
3251S00000XAgencies

Community/Behavioral Health

 
4322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

512146 (AK)
5363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • 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 WAYNE 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
1021061MEDICAID (05)AK 
1584965MEDICAID (05)AK 
512146OTHER (01)AKSTATE OF ALASKA COMMUNITY CARE LICENSE
MH3715MEDICAID (05)AK 

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 1407945389, 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
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 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 + 4 + 0 + 7 + 1 + 8 + 4 + 1 + 0 + 3 + 1 + 6 + 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 1407945389.

Other Providers at the Same Location


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

Counselor (Mental Health)
3760 PIPER ST, STE LL139
ANCHORAGE, AK 99508
Counselor (Mental Health)
3760 PIPER ST, STE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, STE LL139
ANCHORAGE, AK 99508
Counselor (Mental Health)
3760 PIPER ST, STE LL139
ANCHORAGE, AK 99508
Counselor (Mental Health)
3760 PIPER ST, STE LL139
ANCHORAGE, AK 99508
Counselor (Professional)
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Specialist
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Specialist
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Specialist
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Social Worker
3760 PIPER ST, LL139
ANCHORAGE, AK 99508
Registered Nurse
3760 PIPER ST, LL139
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407945389, enumerated as an "organization" on October 11, 2006.

The provider is located at 3760 PIPER ST SUITE LL 139 ANCHORAGE, AK 99508 and the phone number is (907) 563-5006.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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.