SUMMIT PACIFIC MEDICAL CENTER
NPI 1750554366
Medicare Defined Swing Bed Unit in Elma, WA

NPI Status: Active since April 04, 2008

Contact Information

600 E. MAIN STREET
ELMA, WA
ZIP 98541
Phone: (360) 495-3244
Fax: (360) 495-4274

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About SUMMIT PACIFIC MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Summit Pacific Medical Center, a provider established in Elma, Washington operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1750554366 assigned on April 2008. The practitioner's primary taxonomy code is 275N00000X with license number H-186 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Summit Pacific Medical Center. The authorized official of this NPI record is Ms. Renee K Jensen (Ceo)

NPI
1750554366
Provider Legal Name
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other Organization Name
SUMMIT PACIFIC MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 E. MAIN STREET ELMA, WA 98541
Location Phone
(360) 495-3244
Location Fax
(360) 495-4274
Mailing Address
600 E. MAIN STREET ELMA, WA 98541
Mailing Phone
(360) 495-3244
Mailing Fax
(360) 495-4274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2008
Last Update Date
01-24-2013
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
H-186
License State
WA
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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.

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

MS. RENEE K JENSEN

Authorized Official Title
CEO
Authorized Official Phone
(360) 495-3244

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
GR6577OTHER (01)WAREGENCE BLUE SHEILD
3147709MEDICAID (05)WA 
18091OTHER (01)WAL&I ER FACILITY
G000800088OTHER (01)WAMEDICARE PRO FEE
7257108MEDICAID (05)WA 
8903272OTHER (01)WACRIME VICTIMS
50Z304MEDICARE OSCAR/CERTIFICATION (06)WA 
CD1667OTHER (01)WARAILROAD MEDICARE
18090OTHER (01)WAL&I ER DOC NUMBER
135OTHER (01)WAPREMERA
QMXPR0048030OTHER (01)WAMOLINA H/O

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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 1750554366, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 5 → 10 → 1 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 8 + 3 + 1 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1750554366.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
600 E. MAIN STREET
ELMA, WA 98541
Family Medicine
600 E. MAIN STREET
ELMA, WA 98541
General Acute Care Hospital (Critical Access)
600 E. MAIN STREET
ELMA, WA 98541
Emergency Medicine
600 E. MAIN STREET
ELMA, WA 98541
Student in an Organized Health Care Education/Training Program
600 E. MAIN STREET
ELMA, WA 98541
Nurse Practitioner (Primary Care)
600 E. MAIN STREET
ELMA, WA 98541
Nurse Practitioner (Family)
600 E. MAIN STREET
ELMA, WA 98541
Nurse Practitioner
600 E. MAIN STREET
ELMA, WA 98541
Student in an Organized Health Care Education/Training Program
600 E. MAIN STREET
ELMA, WA 98541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750554366, enumerated as an "organization" on April 04, 2008.

The provider is located at 600 E. MAIN STREET ELMA, WA 98541 and the phone number is (360) 495-3244.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Providence Health. Please consult your insurance carrier or call the provider to verify.