CHS NORTHSHORE 23RD
NPI 1730266917
Clinic/Center - Rehabilitation, Substance Use Disorder in Bothell, WA

NPI Status: Active since November 01, 2006

Contact Information

22105 23RD DR SE
BOTHELL, WA
ZIP 98021
Phone: (206) 362-7282
Fax: (206) 362-7152

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CHS NORTHSHORE 23RD

This page provides the complete NPI Profile along with additional information for Chs Northshore 23rd, a provider established in Bothell, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1730266917 assigned on November 2006. The practitioner's primary taxonomy code is 261QR0405X with license number 17126000 (WA). The provider is registered as an organization and their NPI record was last updated 13 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 Chs Northshore 23rd. The authorized official of this NPI record is Beratta Gomillion (Executive Director)

NPI
1730266917
Provider Legal Name
CENTER FOR HUMAN SERVICES
Other Organization Name
CHS NORTHSHORE 23RD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
22105 23RD DR SE BOTHELL, WA 98021
Location Phone
(206) 362-7282
Location Fax
(206) 362-7152
Mailing Address
17018 15TH AVE NE SHORELINE, WA 98155
Mailing Phone
(206) 362-7282
Mailing Fax
(206) 362-7152
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-01-2006
Last Update Date
06-14-2013
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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 No.
17126000
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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2251B00000XAgencies

Case Management

17126000 (WA)

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.

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

BERATTA GOMILLION

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(206) 362-7282

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
1995265MEDICAID (05)WA 

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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 1730266917, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 3 → 6 2 → 4 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 + 7 + 6 + 0 + 4 + 6 + 1 + 2 + 9 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1730266917.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730266917, enumerated as an "organization" on November 01, 2006.

The provider is located at 22105 23RD DR SE BOTHELL, WA 98021 and the phone number is (206) 362-7282.

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.