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SEQUOIA DETOX CENTERS LLC
NPI 1487289567
Substance Abuse Rehabilitation Facility in Spokane Valley, WA

Active since March 09, 2020CLIA 50D2262445 · Waiver
10305 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206(206) 605-2209 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2024, Dec 6, 2023, May 22, 2023 and 1 more (4 updates tracked since 2020).

About Sequoia Detox Centers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEQUOIA DETOX CENTERS LLC (NPI 1487289567) is a healthcare organization registered as a substance abuse rehabilitation facility in Spokane Valley, Washington and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Spokane Valley, and lists Audrey Grimm, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1487289567
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSEQUOIA DETOX CENTERS LLC
Location Address10305 E MONTGOMERY DRSpokane Valley, WA 99206-4220
Mailing Address10305 E Montgomery DrSpokane Valley, WA 99206-4220 · (509) 418-2108 · Fax (509) 315-9386
Phone(206) 605-2209
Organization SubpartNo
Authorized OfficialAudrey GrimmChief Executive Officer · (509) 873-4066
Enumeration DateMarch 9, 2020
Last NPPES UpdateOctober 15, 20244 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1487289567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
10305 E MONTGOMERY DR, Spokane Valley, WA 99206
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Secondary Practice Location 1

Location 1421 N Mullan RdSpokane Valley, WA 99206-2405 · Phone (509) 934-1087

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

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 Waiver 50D2262445

Sequoia Detox Centers · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2262445
Laboratory TypeDrug Tx
Certificate Effective DateJune 14, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJames Knutson
Laboratory Phone(509) 418-2108
Laboratory LocationSequoia Detox Centers10305 E Montgomery Dr, Spokane, WA 99206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARAYAN CHAUDHARY MD
Psychiatry & Neurology (Addiction Psychiatry)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (253) 653-2943
CATHERINE KIRBY FLAGG
Counselor (Mental Health)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (509) 873-4072
TRACY L DANTZLER SUDP
Counselor (Addiction (Substance Use Disorder))
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (509) 418-2108
JOHN C HANSON SUDP-T
Counselor (Addiction (Substance Use Disorder))
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (206) 605-2209
AUDREY GRIMM ARNP
Nurse Practitioner (Psychiatric/Mental Health)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (509) 418-2108

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 Sequoia Detox Centers LLC's NPI number?

The NPI number for Sequoia Detox Centers LLC is 1487289567. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Sequoia Detox Centers LLC located?

Sequoia Detox Centers LLC is located at 10305 E Montgomery Dr, Spokane Valley, WA 99206. The listed phone number is (206) 605-2209.

What is Sequoia Detox Centers LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Sequoia Detox Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2262445) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sequoia Detox Centers LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sequoia Detox Centers LLC 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 Sequoia Detox Centers LLC was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.