EASTERN STATE HOSPITAL
NPI 1467440602
Psychiatric Hospital in Medical Lake, WA

NPI Status: Active since October 12, 2005

Contact Information

850 MAPLE ST
MEDICAL LAKE, WA
ZIP 99022
Phone: (509) 565-4000
Fax: (509) 565-4705

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  • Organization
  • Psychiatric Hospital
  • Accepts Insurance
  • CLIA Number: 50D0883433
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 04-04-2028

About EASTERN STATE HOSPITAL

Eastern State Hospital is a hospital serving the Medical Lake, Washington region. The facility is a psychiatric hospital. The NPI number of this hospital is 1467440602 assigned on October 2005. The hospital's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Eastern State Hospital. The authorized official of this NPI record is Jessica Helene Graham (Director, Revenue Cycle)

NPI
1467440602
Provider Legal Name
DEPARTMENT OF SOCIAL DEPT OF SHS DIV OF INSTNS
Other Organization Name
EASTERN STATE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
850 MAPLE ST MEDICAL LAKE, WA 99022
Location Phone
(509) 565-4000
Location Fax
(509) 565-4705
Mailing Address
PO BOX 800 850 MAPLE ST MEDICAL LAKE, WA 99022
Mailing Phone
(509) 565-4000
Mailing Fax
(509) 565-4705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2005
Last Update Date
03-10-2022
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According to the Hospital Compare program data, Eastern State Hospital doesn't have an overall quality rating because data are shown only for hospitals that participate in the inpatient quality reporting (iqr) and outpatient quality reporting (oqr) programs.

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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
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.

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

*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

JESSICA HELENE GRAHAM

Authorized Official Title
DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(509) 565-4131

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating Not Available - Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Hospital Type Psychiatric - Government - State

  • Emergency Services: No

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records:

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

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
50D0883433
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
September 16, 1998
Certificate Expiration Date
April 04, 2028
Laboratory Director
LESLIE R. SHIMABUKURO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eastern State Hospital 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 EASTERN STATE 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 1467440602, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 6 → 12 → 3 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 8 + 4 + 0 + 6 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1467440602.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467440602, enumerated as an "organization" on October 12, 2005.

The provider is located at 850 MAPLE ST MEDICAL LAKE, WA 99022 and the phone number is (509) 565-4000.

Psychiatric Hospital with taxonomy code 283Q00000X.

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