PROVIDENCE ST. PETER HOSPITAL
NPI 1407964133
Rehabilitation Unit in Olympia, WA

NPI Status: Active since August 25, 2006

Contact Information

413 LILLY RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 491-9480
Fax: (360) 493-5858

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  • Organization
  • Rehabilitation Unit
  • Accepts Insurance
  • CLIA Number: 50D0636949
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-04-2028

About PROVIDENCE ST. PETER HOSPITAL

This page provides the complete NPI Profile along with additional information for Providence St. Peter Hospital, a provider established in Olympia, Washington operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1407964133 assigned on August 2006. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Providence St. Peter Hospital. The authorized official of this NPI record is Donald Anderson Jr. (Asst Corp Sec For Enrollments)

NPI
1407964133
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
PROVIDENCE ST. PETER HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
413 LILLY RD NE OLYMPIA, WA 98506
Location Phone
(360) 491-9480
Location Fax
(360) 493-5858
Mailing Address
PO BOX 3505 PORTLAND, OR 97208
Mailing Phone
(360) 491-9480
Mailing Fax
(360) 493-5858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2006
Last Update Date
06-21-2018
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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

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

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

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.

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 ANDERSON JR.

Authorized Official Title
ASST CORP SEC FOR ENROLLMENTS
Authorized Official Phone
(425) 525-5392

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
=========OTHER (01)WAAETNA
ST0232OTHER (01)WAREGENCE
=========OTHER (01)WACIGNA
3302601MEDICAID (05)WA 
HS60IPMEDICAID (05)AL 

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
50D0636949
Facility Type
Hospital
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
DR. DOMINIQUE P. COCO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Providence St. Peter Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PROVIDENCE ST. PETER HOSPITAL

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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 1407964133, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 4 → 8 3 → 6

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 + 6 + 8 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1407964133.

Other Providers at the Same Location


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

Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Nurse Practitioner (Family)
413 LILLY RD NE
OLYMPIA, WA 98506
Pathology (Anatomic Pathology & Clinical Pathology)
413 LILLY RD NE, PROVIDENCE ST PETER HOSPITAL
OLYMPIA, WA 98506
Pathology (Anatomic Pathology & Clinical Pathology)
413 LILLY RD NE, PROVIDENCE ST PETER HOSPITAL
OLYMPIA, WA 98506
Pathology (Anatomic Pathology & Clinical Pathology)
413 LILLY RD NE, PROVIDENCE ST PETER HOSPITAL
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Physician Assistant
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Nurse Practitioner (Psychiatric/Mental Health)
413 LILLY RD NE
OLYMPIA, WA 98506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407964133, enumerated as an "organization" on August 25, 2006.

The provider is located at 413 LILLY RD NE OLYMPIA, WA 98506 and the phone number is (360) 491-9480.

Rehabilitation Unit with taxonomy code 273Y00000X.

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