COWLITZ INDIAN TRIBE
NPI 1538412630
Clinic/Center - Rehabilitation, Substance Use Disorder in Vancouver, WA

NPI Status: Active since October 26, 2012

Contact Information

7105 NE 40TH ST
VANCOUVER, WA
ZIP 98661
Phone: (360) 353-9431
Fax: (360) 353-9440

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 50D2207612
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About COWLITZ INDIAN TRIBE

This page provides the complete NPI Profile along with additional information for Cowlitz Indian Tribe, a provider established in Vancouver, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1538412630 assigned on October 2012. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Shavon Keller (Billing Supervisor)

NPI
1538412630
Provider Legal Name
COWLITZ INDIAN TRIBE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7105 NE 40TH ST VANCOUVER, WA 98661
Location Phone
(360) 353-9431
Location Fax
(360) 353-9440
Mailing Address
PO BOX 2429 LONGVIEW, WA 98632
Mailing Phone
(206) 721-5170
Mailing Fax
(360) 353-9440
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-26-2012
Last Update Date
10-02-2025
Code Navigator

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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

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

SHAVON KELLER

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(360) 353-9431

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
50D2207612
Facility Type
Physician Office
Certificate Effective Date
December 29, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
AMOS CHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cowlitz Indian Tribe 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 COWLITZ INDIAN TRIBE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1538412630, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 8 + 1 + 4 + 6 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1538412630.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Social Worker (Clinical)
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Mental Health)
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Mental Health)
7105 NE 40TH ST
VANCOUVER, WA 98661
Licensed Practical Nurse
7105 NE 40TH ST
VANCOUVER, WA 98661
Licensed Practical Nurse
7105 NE 40TH ST
VANCOUVER, WA 98661
Licensed Practical Nurse
7105 NE 40TH ST
VANCOUVER, WA 98661
Physician Assistant
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Addiction (Substance Use Disorder))
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Addiction (Substance Use Disorder))
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Addiction (Substance Use Disorder))
7105 NE 40TH ST
VANCOUVER, WA 98661
Nurse Practitioner (Family)
7105 NE 40TH ST
VANCOUVER, WA 98661
Counselor (Addiction (Substance Use Disorder))
7105 NE 40TH ST
VANCOUVER, WA 98661
Registered Nurse
7105 NE 40TH ST
VANCOUVER, WA 98661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538412630, enumerated as an "organization" on October 26, 2012.

The provider is located at 7105 NE 40TH ST VANCOUVER, WA 98661 and the phone number is (360) 353-9431.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

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