EVERGREENHEALTHCARE
NPI 1588054332
Clinic/Center - Multi-Specialty in Kirkland, WA

NPI Status: Active since February 02, 2015

Contact Information

12333 NE 130TH LN
TAN 415
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-2783
Fax: (425) 899-2784

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About EVERGREENHEALTHCARE

This page provides the complete NPI Profile along with additional information for Evergreenhealthcare, a provider established in Kirkland, Washington operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1588054332 assigned on February 2015. The practitioner's primary taxonomy code is 261QM1300X with license number PH0009804 (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 Marie A Cermak Rph (Pharmacist)

NPI
1588054332
Provider Name
EVERGREENHEALTHCARE
Entity Type
Organization
Location Address
12333 NE 130TH LN TAN 415 KIRKLAND, WA 98034
Location Phone
(425) 899-2783
Location Fax
(425) 899-2784
Mailing Address
12333 NE 130TH LN 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
02-02-2015
Last Update Date
02-02-2015
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
PH0009804
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:

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

MARIE A CERMAK RPH

Authorized Official Title
PHARMACIST
Authorized Official Phone
(425) 899-2783

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
PH00009804OTHER (01)WAPHARMACY LICENSE

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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 1588054332, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 0 + 5 + 8 + 3 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1588054332.

Other Providers at the Same Location


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

Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
General Practice
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Nurse Practitioner (Adult Health)
12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Physician Assistant (Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Genetic Counselor, MS
12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034
Nurse Practitioner
12333 NE 130TH LN, #302
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Internal Medicine
12333 NE 130TH LN, STE 310
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN, #110
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN, #110
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588054332, enumerated as an "organization" on February 02, 2015.

The provider is located at 12333 NE 130TH LN TAN 415 KIRKLAND, WA 98034 and the phone number is (425) 899-2783.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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