SKAGIT RECOVERY CENTER
NPI 1609920123
Clinic/Center - Rehabilitation, Substance Use Disorder in Mount Vernon, WA

NPI Status: Active since January 22, 2007

Contact Information

1905 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 428-7835
Fax: (360) 848-9225

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder
Accepts Insurance

About SKAGIT RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Skagit Recovery Center, a provider established in Mount Vernon, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1609920123 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Alan R Erickson (Executive Director)

NPI: 1609920123
Provider Name: SKAGIT RECOVERY CENTER
Entity Type: Organization
Location Address: 1905 CONTINENTAL PL MOUNT VERNON, WA 98273
Location Phone: (360) 428-7835
Location Fax: (360) 848-9225
Mailing Address: 1905 CONTINENTAL PL MOUNT VERNON, WA 98273
Mailing Fax: (360) 848-9225
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-22-2007
Last Update Date: 09-26-2007
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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 Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities
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:

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

Medicare

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

Medicaid

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

Blue Cross Blue Shield

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: MR. ALAN R ERICKSON
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (360) 428-7835

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
1990423	MEDICAID (05)	WA
1021475	OTHER (01)	WA	COMMUNITY HEALTH PLAN
06357	OTHER (01)	WA	REGENCE BLUE SHIELD

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	9	2	0	1	2	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	18	2	0	1	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 2 + 0 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1609920123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 12 providers are registered at the same or nearby location.

MR. ROBERT E MCCULLOUGH II

Counselor

(Addiction (Substance Use Disorder))