PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1538413109
Clinic/Center - Rural Health in Kettle Falls, WA

NPI Status: Active since November 05, 2012

Contact Information

840 S MEYERS ST
KETTLE FALLS, WA
ZIP 99141
Phone: (509) 685-7848

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 50D0638836
  • CLIA Cert. Type: Other - CLINIC
  • CLIA Exp. Date: 04-04-2028

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a primary care provider established in Kettle Falls, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1538413109 assigned on November 2012. The practitioner's primary taxonomy code is 261QR1300X. 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 Donald W. Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1538413109
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
840 S MEYERS ST KETTLE FALLS, WA 99141
Location Phone
(509) 685-7848
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(509) 685-7848
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2012
Last Update Date
05-05-2025
Code Navigator

A primary care provider (PCP) like Providence Health & Services Washington sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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

DONALD W. ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

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
50D0638836
Facility Type
Other - CLINIC
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
CALEB HOLTZER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Providence Health & Services Washington 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 1538413109, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 3 → 6 0 → 0

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 + 6 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1538413109.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Physician Assistant
840 S MEYERS ST
KETTLE FALLS, WA 99141
Physician Assistant
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141
Physician Assistant
840 S MEYERS ST
KETTLE FALLS, WA 99141
Family Medicine
840 S MEYERS ST
KETTLE FALLS, WA 99141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538413109, enumerated as an "organization" on November 05, 2012.

The provider is located at 840 S MEYERS ST KETTLE FALLS, WA 99141 and the phone number is (509) 685-7848.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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