ST. JOHN MEDICAL CENTER
NPI 1508958331
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Longview, WA

NPI Status: Active since September 29, 2006

Contact Information

600 BROADWAY ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 414-2000

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About ST. JOHN MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for St. John Medical Center, a provider established in Longview, Washington operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1508958331 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X with license number H-026 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as St. John Medical Center. The authorized official of this NPI record is Thomas Haywood (Network Cfo)

NPI
1508958331
Provider Legal Name
PEACEHEALTH
Other Organization Name
ST. JOHN MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 BROADWAY ST LONGVIEW, WA 98632
Location Phone
(360) 414-2000
Mailing Address
1115 SE 164TH AVE DEPT 364 VANCOUVER, WA 98683
Mailing Phone
(360) 414-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2006
Last Update Date
07-12-2013
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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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
H-026
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

THOMAS HAYWOOD

Authorized Official Title
NETWORK CFO
Authorized Official Phone
(360) 414-2173

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H-026OTHER (01)WADOH LICENSE #
600521489OTHER (01)WAUBI
3304508MEDICAID (05)WA 
502308MEDICARE PIN (08)WA 

Reviews for ST. JOHN MEDICAL CENTER

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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 1508958331, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 9 → 18 → 9 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 8 + 5 + 1 + 6 + 3 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1508958331.

Other Providers at the Same Location


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

Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Counselor
600 BROADWAY ST
LONGVIEW, WA 98632
Durable Medical Equipment & Medical Supplies
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Counselor (Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Counselor (Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508958331, enumerated as an "organization" on September 29, 2006.

The provider is located at 600 BROADWAY ST LONGVIEW, WA 98632 and the phone number is (360) 414-2000.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.