GATHER COMMUNITY SERVICES
NPI 1699365890
Community/Behavioral Health in Centralia, WA

NPI Status: Active since January 21, 2021

Contact Information

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531
Phone: (360) 827-0264

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 50D2215073
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About GATHER COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for Gather Community Services, a provider established in Centralia, Washington operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1699365890 assigned on January 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Gather Community Services. The authorized official of this NPI record is Patricia Marie Howard (Associate Pastor/supervisor)

NPI
1699365890
Provider Legal Name
GATHER CHURCH
Other Organization Name
GATHER COMMUNITY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
727 N TOWER AVE CENTRALIA, WA 98531
Location Phone
(360) 827-0264
Mailing Address
PO BOX 144 CENTRALIA, WA 98531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2021
Last Update Date
09-12-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

PATRICIA MARIE HOWARD

Authorized Official Title
ASSOCIATE PASTOR/SUPERVISOR
Authorized Official Phone
(360) 827-1537

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
50D2215073
Facility Type
Community Clinic
Certificate Effective Date
February 26, 2021
Certificate Expiration Date
April 04, 2028
Laboratory Director
COLE MECKLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gather Community 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 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.
1699365890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261896610818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 6 + 6 + 1 + 0 + 8 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1699365890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NANCY ELLEN LAWRENCE RN

Registered Nurse

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

MARVIN TROY WESTERGARD

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 827-5964

TODD JEREMY MORRIS

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

TESSA HOVEN RN

Registered Nurse

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

CAITLIN ALYS ROGERS SUDP-T CO61285861

Counselor

(Addiction (Substance Use Disorder))

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 764-9507

HEATHER HENNESSEY RN

Registered Nurse

(Addiction (Substance Use Disorder))

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 827-0264

BROOKE E REDER

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

GRAZIELA GONZALEZ

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 764-9507

MRS. SHAWN MICHELE TSO RN

Registered Nurse

(Addiction (Substance Use Disorder))

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 827-0264

THERESA MARIE STANFIELD

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 827-0072

DAYLEN L GONZALES MSW

Social Worker

(Clinical)

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 764-9506

CHERYL SUZANNE HAMMER LPN

Licensed Practical Nurse

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

TANYA RISLEY

Peer Specialist

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

MRS. ALEXIS C.L. ZIADY SUDP

Counselor

(Addiction (Substance Use Disorder))

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 827-0264

MR. JASON NATHANIEL SHEPHERD PA-C

Physician Assistant

727 N TOWER AVE
CENTRALIA, WA
ZIP 98531

(360) 557-2027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699365890, enumerated as an "organization" on January 21, 2021.

The provider is located at 727 N TOWER AVE CENTRALIA, WA 98531 and the phone number is (360) 827-0264.

Community/Behavioral Health with taxonomy code 251S00000X.