COWLITZ INDIAN TRIBAL HEALTH SERVICES
NPI 1619194123
Preventive Medicine - Public Health & General Preventive Medicine in Longview, WA
NPI Status: Active since April 19, 2007
Contact Information
900 FIR ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 353-9422
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- CLIA Number: 50D2207612
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About COWLITZ INDIAN TRIBAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Cowlitz Indian Tribal Health Services, a provider established in Longview, Washington operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1619194123 assigned on April 2007. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 2 years 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 other name is Cowlitz Indian Tribal Health Services. The authorized official of this NPI record is Shavon Keller (Billing Supervisor)
- NPI
- 1619194123
- Provider Legal Name
- COWLITZ INDIAN TRIBE
- Other Organization Name
- COWLITZ INDIAN TRIBAL HEALTH SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 900 FIR ST LONGVIEW, WA 98632
- Location Phone
- (360) 353-9422
- Mailing Address
- PO BOX 2429 LONGVIEW, WA 98632
- Mailing Phone
- (360) 575-8275
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-19-2007
- Last Update Date
- 10-31-2024
- Code Navigator
Location Map
Secondary Locations
- 1044 11th Ave Suite A
Longview, WA 98632
(360) 575-8275 - 1000 Davis Pl
DuPont, WA 98327
(360) 946-2498 - 7700 NE 26th Ave
Vancouver, WA 98665
(360) 397-8228 - 6450 Southcenter Blvd
Tukwila, WA 98188
(206) 466-5410 - 15455 65th Ave S
Tukwila, WA 98188
(206) 721-5170
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
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
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 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X 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:
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 |
|---|---|---|---|
| 1981224 | 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
- 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 Tribal Health Services 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 1619194123, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619194123, enumerated as an "organization" on April 19, 2007.
The provider is located at 900 FIR ST LONGVIEW, WA 98632 and the phone number is (360) 353-9422.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
