EASTERN STATE HOSPITAL

Q: 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.

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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

NPI1467440602

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameDEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS

Location Address850 MAPLE STMedical Lake, WA 99022-0800

Mailing AddressPo Box 800, 850 Maple StMedical Lake, WA 99022-0800 · (509) 565-4000 · Fax (509) 565-4705

Phone(509) 565-4000

Fax(509) 565-4705

Organization SubpartNo

Authorized OfficialJessica Helene GrahamDirector, Revenue Cycle · (509) 565-4131

Enumeration DateOctober 12, 2005

Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2022

✔ NPI 1467440602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

850 MAPLE ST, Medical Lake, WA 99022

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Other Names 1

Doing Business AsEastern State Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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, WA

Active · expires Apr 4, 2028

CLIA Number50D0704062

Laboratory TypeHospital

Certificate Effective DateSeptember 1, 1992

Certificate Expiration DateApril 4, 2028

Laboratory DirectorDr. Sanjay Logani

Laboratory Phone(509) 565-4000

Laboratory LocationEastern State HospitalFir Street, Medical Lake, WA 99022

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 50D0883433

Eastern State Hospital · Medical Lake, WA

Active · expires Apr 4, 2028

CLIA Number50D0883433

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateSeptember 16, 1998

Certificate Expiration DateApril 4, 2028

Laboratory DirectorLeslie R. Shimabukuro

Laboratory Phone(509) 565-4000

Laboratory LocationEastern State HospitalMaple Street, Medical Lake, WA 99022

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Eastern State Hospital (CMS certification number 504004), from CMS Care Compare.

Psychiatric · Medical Lake, WA

OwnershipGovernment - State

CMS Certification Number504004

Location850 Maple Street - P O Box AMedical Lake, WA 99022 · Spokane County · (509) 565-4000

Frequently 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.

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.