PROVIDENCE HEALTH SYSTEMS
NPI 1437816659
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Milwaukie, OR

NPI Status: Active since November 22, 2021

Contact Information

10330 SE 32ND AVE STE 110
MILWAUKIE, OR
ZIP 97222
Phone: (503) 717-3013

Get Directions Write a Review

  • Organization
  • Program of All-Inclusive Care for the El...
  • CLIA Number: 38D2106661
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 12-21-2025

About PROVIDENCE HEALTH SYSTEMS

This page provides the complete NPI Profile along with additional information for Providence Health Systems, a provider established in Milwaukie, Oregon operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1437816659 assigned on November 2021. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Holly Daigle (Rn Cm)

NPI
1437816659
Provider Name
PROVIDENCE HEALTH SYSTEMS
Entity Type
Organization
Location Address
10330 SE 32ND AVE STE 110 MILWAUKIE, OR 97222
Location Phone
(503) 717-3013
Mailing Address
10330 SE 32ND AVE STE 110 MILWAUKIE, OR 97222
Mailing Phone
(503) 717-3013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2021
Last Update Date
11-22-2021
Code Navigator

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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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

HOLLY DAIGLE

Authorized Official Title
RN CM
Authorized Official Phone
(503) 513-1300

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
931146501MEDICAID (05)OR 

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
38D2106661
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
December 22, 2023
Certificate Expiration Date
December 21, 2025
Laboratory Director
WENDY ECKHART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Health Systems 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.

Reviews for PROVIDENCE HEALTH SYSTEMS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1437816659, 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
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 3 → 6 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 6 + 7 + 1 + 6 + 1 + 1 + 2 + 6 + 1 + 0 + 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 1437816659.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Licensed Practical Nurse
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Family Medicine (Geriatric Medicine)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Clinical Nurse Specialist (Gerontology)
10330 SE 32ND AVE STE 110
PORTLAND, OR 97222
Licensed Practical Nurse
10330 SE 32ND AVE STE 110
PORTLAND, OR 97222
Registered Nurse (Home Health)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Licensed Practical Nurse
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Licensed Practical Nurse
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Registered Nurse
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Registered Nurse (Case Management)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Registered Nurse
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Nurse Practitioner (Family)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Internal Medicine
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Internal Medicine
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Social Worker (Clinical)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222
Registered Nurse (Community Health)
10330 SE 32ND AVE STE 110
MILWAUKIE, OR 97222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437816659, enumerated as an "organization" on November 22, 2021.

The provider is located at 10330 SE 32ND AVE STE 110 MILWAUKIE, OR 97222 and the phone number is (503) 717-3013.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.