EVERGREEN HEALTHCARE
NPI 1508258765
General Acute Care Hospital in Kirkland, WA

NPI Status: Active since February 25, 2015

Contact Information

12040 NE 128TH ST
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-2783
Fax: (425) 899-2784

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 50D0704436
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About EVERGREEN HEALTHCARE

This page provides the complete NPI Profile along with additional information for Evergreen Healthcare, a provider established in Kirkland, Washington operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1508258765 assigned on February 2015. The practitioner's primary taxonomy code is 282N00000X with license number 00020647 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Don Briggs Rph (Pharmacy Director)

NPI
1508258765
Provider Name
EVERGREEN HEALTHCARE
Entity Type
Organization
Location Address
12040 NE 128TH ST KIRKLAND, WA 98034
Location Phone
(425) 899-2783
Location Fax
(425) 899-2784
Mailing Address
12040 NE 128TH ST TAN 415 KIRKLAND, WA 98034
Mailing Phone
(425) 899-2783
Mailing Fax
(425) 899-2784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2015
Last Update Date
02-25-2015
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is government and was certified on 01-01-2003 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
00020647
License State
WA
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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

MR. DON BRIGGS RPH

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(425) 899-2783

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • EVERGREEN HEALTHCARE has an ownership type of Government
  • The facility received it's medicare certification date on 01-01-2003
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions11
Brain disease or condition (non-traumatic)16
Brain injury (traumatic)15
Hip or femur fracture13
Hip or knee replacement, amputation or other bone or joint condition14
Nervous system disorder (excluding stroke)27
Spinal cord disease or condition (non-traumatic)19
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
Stroke107

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
50D0704436
Facility Type
Physician Office
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
KOMAL C. PATIL-SISDDIA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Evergreen Healthcare in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1508258765, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 4 + 5 + 1 + 6 + 7 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1508258765.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST, #69, EVERGREEN MEDICAL CENTER
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Radiology (Diagnostic Radiology)
12040 NE 128TH ST, EVERGREEN HOSPITAL MEDICAL CENTER
KIRKLAND, WA 98034
Pathology (Anatomic Pathology & Clinical Pathology)
12040 NE 128TH ST
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508258765, enumerated as an "organization" on February 25, 2015.

The provider is located at 12040 NE 128TH ST KIRKLAND, WA 98034 and the phone number is (425) 899-2783.

General Acute Care Hospital with taxonomy code 282N00000X.