KAISER PERMANENTE
NPI 1689776916
Preferred Provider Organization in Longview, WA

NPI Status: Active since September 05, 2006

Contact Information

1230 7TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-6235
Fax: (360) 575-4805

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 50D0637505
  • CLIA Cert. Type: Health Main. Organization
  • CLIA Exp. Date: 04-04-2028

About KAISER PERMANENTE

This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Longview, Washington operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1689776916 assigned on September 2006. The practitioner's primary taxonomy code is 305R00000X with license number CP00002701 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Donna Rae Yeager M.ed./cdp (Addiction Medicine Therapist)

NPI
1689776916
Provider Name
KAISER PERMANENTE
Entity Type
Organization
Location Address
1230 7TH AVE LONGVIEW, WA 98632
Location Phone
(360) 636-6235
Location Fax
(360) 575-4805
Mailing Address
125 NECTARINE DRIVE KALAMA, WA 98625
Mailing Phone
(360) 673-3434
Mailing Fax
(360) 575-4805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2006
Last Update Date
08-22-2020
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
CP00002701
License State
WA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

MS. DONNA RAE YEAGER M.ED./CDP

Authorized Official Title
ADDICTION MEDICINE THERAPIST
Authorized Official Phone
(360) 636-6294

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
50D0637505
Facility Type
Health Main. Organization
Certificate Effective Date
August 21, 2002
Certificate Expiration Date
April 04, 2028
Laboratory Director
REVA RICKETTS-LORIAUX
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kaiser Permanente after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1689776916, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 4 + 7 + 1 + 2 + 9 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1689776916.

Other Providers at the Same Location


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

Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Dentist (General Practice)
1230 7TH AVE
LONGVIEW, WA 98632
Dentist (General Practice)
1230 7TH AVE
LONGVIEW, WA 98632
Dentist (General Practice)
1230 7TH AVE
LONGVIEW, WA 98632
Optometrist
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Internal Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Pediatrics
1230 7TH AVE
LONGVIEW, WA 98632
Counselor (Mental Health)
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Social Worker (Clinical)
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
1230 7TH AVE, KAISER PERMANENTE LONGVIEW-KELSO MEDICAL OFFICE
LONGVIEW, WA 98632
Technician/Technologist (Optician)
1230 7TH AVE
LONGVIEW, WA 98632
Technician/Technologist (Optician)
1230 7TH AVE
LONGVIEW, WA 98632
Family Medicine
1230 7TH AVE
LONGVIEW, WA 98632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689776916, enumerated as an "organization" on September 05, 2006.

The provider is located at 1230 7TH AVE LONGVIEW, WA 98632 and the phone number is (360) 636-6235.

Preferred Provider Organization with taxonomy code 305R00000X.