PUYALLUP TRIBAL HEALTH AUTHORITY
NPI 1689709172
Clinic/Center - Rehabilitation, Substance Use Disorder in Tacoma, WA
NPI Status: Active since February 23, 2007
Contact Information
2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
Fax: (253) 382-2091
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 50D0670036
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-02-2027
About PUYALLUP TRIBAL HEALTH AUTHORITY
This page provides the complete NPI Profile along with additional information for Puyallup Tribal Health Authority, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689709172 assigned on February 2007. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Puyallup Tribal Health Authority. The authorized official of this NPI record is Chris Henry (Executive Director)
- NPI
- 1689709172
- Provider Legal Name
- PUYALLUP TRIBAL HEALTH AUTHORITY
- Other Organization Name
- PUYALLUP TRIBAL HEALTH AUTHORITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2209 E 32ND ST TACOMA, WA 98404
- Location Phone
- (253) 593-0232
- Location Fax
- (253) 382-2091
- Mailing Address
- 2209 E 32ND ST TACOMA, WA 98404
- Mailing Phone
- (253) 593-0232
- Mailing Fax
- (253) 382-2091
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2007
- Last Update Date
- 07-13-2018
- 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
- License State
- WA
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 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | (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.
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 |
|---|---|---|---|
| 366486003 | OTHER (01) | WA | OPTIONS INPT |
| PU6550 | OTHER (01) | WA | REGENCE |
| 1980762 | MEDICAID (05) | WA | |
| 366486004 | OTHER (01) | WA | OPTIONS OUTPT |
| 1990456 | 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
- 50D0670036
- Facility Type
- Other
- Certificate Effective Date
- March 03, 2025
- Certificate Expiration Date
- March 02, 2027
- Laboratory Director
- MARK KOZAKOWSKI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Puyallup Tribal Health Authority on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1689709172, 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.
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TACOMA, WA 98404
TACOMA, WA 98404
TACOMA, WA 98404
TACOMA, WA 98404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689709172, enumerated as an "organization" on February 23, 2007.
The provider is located at 2209 E 32ND ST TACOMA, WA 98404 and the phone number is (253) 593-0232.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
