EASTERN STATE HOSPITAL
NPI 1467440602
Psychiatric Hospital in Medical Lake, WA
About Eastern State Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN STATE HOSPITAL (NPI 1467440602) is a healthcare organization registered as a psychiatric hospital in Medical Lake, Washington and active in the NPI registry since October 2005. The organization holds 2 active CLIA laboratory certificates and lists Jessica Helene Graham, Director, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastern State Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Eastern State Hospital, which bills Medicare for the services they deliver. Of these, 12 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 57Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 50D0704062
Eastern State Hospital · Medical Lake, WACertificate of Waiver 50D0883433
Eastern State Hospital · Medical Lake, WAHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for Eastern State Hospital (CMS certification number 504004), from CMS Care Compare.
Eastern State Hospital
Psychiatric · Medical Lake, WAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Department Of Social Dept Of Shs Div Of Instns's NPI number?
The NPI number for Department Of Social Dept Of Shs Div Of Instns is 1467440602. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider is doing business as Eastern State Hospital.
Where is Department Of Social Dept Of Shs Div Of Instns located?
Department Of Social Dept Of Shs Div Of Instns is located at 850 Maple St, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.
What is Department Of Social Dept Of Shs Div Of Instns's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is Department Of Social Dept Of Shs Div Of Instns enrolled in Medicare?
Yes. Department Of Social Dept Of Shs Div Of Instns is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Department Of Social Dept Of Shs Div Of Instns?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 7 Medicare specialties reassign their Medicare billing to Department Of Social Dept Of Shs Div Of Instns. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (31), Family Practice (9) and Internal Medicine (6). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Department Of Social Dept Of Shs Div Of Instns hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
Is Department Of Social Dept Of Shs Div Of Instns a Medicare-certified hospital?
Yes. Eastern State Hospital is a Medicare-certified hospital (Psychiatric).
What insurance does Department Of Social Dept Of Shs Div Of Instns accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Department Of Social Dept Of Shs Div Of Instns as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Department Of Social Dept Of Shs Div Of Instns was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastern State Hospital · NPI 1467440602
Psychiatric Hospital organization in Medical Lake, Washington. Organization record, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1467440602 (Entity type: Organization)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Legal business name:** Department Of Social Dept Of Shs Div Of Instns
- **Organization subpart:** No
- **Authorized official:** Jessica Graham, DIRECTOR, REVENUE CYCLE
## Practice location
- **Address:** 850 MAPLE ST, Medical Lake, WA 99022-0800
- **Phone:** (509) 565-4000 · **Fax:** (509) 565-4705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (31), Family Practice (9), Internal Medicine (6); 12 practice at this address; [full list](https://npiprofile.com/npi/1467440602/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467440602) · Data from the CMS NPPES public registry.