N W PEDIATRIC CENTER INC P S
NPI 1518034180
Pediatrics in Centralia, WA
NPI Status: Active since November 29, 2006
Contact Information
1911 COOKS HILL RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-6778
Fax: (360) 736-6552
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 50D2189443
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 04-04-2028
About N W PEDIATRIC CENTER INC P S
This page provides the complete NPI Profile along with additional information for N W Pediatric Center Inc P S, a pediatrician established in Centralia, Washington operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1518034180 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number MD00029916 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1518034180
- Provider Legal Name
- N W PEDIATRIC CENTER INC P S
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1911 COOKS HILL RD CENTRALIA, WA 98531
- Location Phone
- (360) 736-6778
- Location Fax
- (360) 736-6552
- Mailing Address
- 1911 COOKS HILL RD CENTRALIA, WA 98531
- Mailing Phone
- (360) 736-6778
- Mailing Fax
- (360) 736-6552
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-29-2006
- Last Update Date
- 10-09-2025
- Code Navigator
A pediatrician like N W Pediatric Center Inc P S is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00029916
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD00028578 (WA) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD00027525 (WA) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD00038226 (WA) |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD00032554 (WA) |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD00043677 (WA) |
| 6 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD00039351 (WA) |
| 7 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP30007039 (WA) |
| 8 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP60086265 (WA) |
| 9 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP30006273 (WA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
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.
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 |
|---|---|---|---|
| 1058825 | MEDICAID (05) | WA | |
| 218107 | OTHER (01) | WA | JC PROVIDENCE HEALTH PLAN |
| 2914LO | OTHER (01) | WA | DR LO REGENCE |
| 9116SM | OTHER (01) | WA | DANA SMITH, ARNP REGENCE |
| 1194SM | OTHER (01) | WA | DANA SMITH, ARNP REGENCE |
| 2914CA | OTHER (01) | WA | JENNIFER CASERTA, MD REGE |
| 2914SM | OTHER (01) | WA | DANA SMITH, ARNP REGENCE |
| 2915CA | OTHER (01) | WA | JENNIFER CASERTA, MD REGE |
| 8024LO | OTHER (01) | WA | DR LO REGENCE |
| 9116CA | OTHER (01) | WA | JENNIFER CASETA, MD REGEN |
| 1914LO | OTHER (01) | WA | DR. LO REGENCE |
| 8173882 | MEDICAID (05) | WA | |
| 212864 | OTHER (01) | WA | DANA SMITH, ARNP PROVIDEN |
| 230532008 | OTHER (01) | WA | JC GROUP HEALTH |
| 7057375 | MEDICAID (05) | WA | |
| 8141947 | MEDICAID (05) | WA | |
| 1072958 | MEDICAID (05) | WA | |
| 8251324 | MEDICAID (05) | WA | |
| 8398356 | MEDICAID (05) | WA | |
| 9636994 | MEDICAID (05) | WA |
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
- 50D2189443
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 30, 2020
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JENNIFER POLLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to N W Pediatric Center Inc P S 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.
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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 1518034180, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CENTRALIA, WA 98531
CENTRALIA, WA 98531
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518034180, enumerated as an "organization" on November 29, 2006.
The provider is located at 1911 COOKS HILL RD CENTRALIA, WA 98531 and the phone number is (360) 736-6778.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
