PORT GAMBLE S'KLALLAM HEALTH CENTER
NPI 1760428650
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, WA

NPI Status: Active since June 21, 2006

Contact Information

32014 LITTLE BOSTON RD NE
KINGSTON, WA
ZIP 98346
Phone: (360) 297-9601
Fax: (360) 297-9614

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About PORT GAMBLE S'KLALLAM HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Port Gamble S'klallam Health Center, a primary care provider established in Kingston, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1760428650 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Port Gamble S'klallam Health Center. The authorized official of this NPI record is Dallas I Deguire (Administrative Director)

NPI
1760428650
Provider Legal Name
PORT GAMBLE S'KLALLAM TRIBE
Other Organization Name
PORT GAMBLE S'KLALLAM HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
32014 LITTLE BOSTON RD NE KINGSTON, WA 98346
Location Phone
(360) 297-9601
Location Fax
(360) 297-9614
Mailing Address
32014 LITTLE BOSTON RD NE KINGSTON, WA 98346
Mailing Phone
(360) 297-9601
Mailing Fax
(360) 297-9614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
01-07-2011
Code Navigator

A primary care provider (PCP) like Port Gamble S'klallam Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

DALLAS I DEGUIRE

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(360) 297-9601

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
0101820OTHER (01)WAL&I CLINIC ID#
7094964MEDICAID (05)WA 
5031794MEDICAID (05)WA 
1992825MEDICAID (05)WA 
5031810MEDICAID (05)WA 
=========OTHER (01)WAKPS CLINIC ID#
50-1839MEDICARE OSCAR/CERTIFICATION (06)WA 
1980929MEDICAID (05)WA 
7094972MEDICAID (05)WA 
PO1021OTHER (01)WAREGENCE RIDER#
AB40231MEDICARE ID-TYPE UNSPECIFIED (04)WAMEDICARE PART B

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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 1760428650, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 6 → 12 → 3 4 → 8 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 8 + 2 + 1 + 6 + 6 + 1 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1760428650.

Other Providers at the Same Location


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

Specialist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Specialist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Speech-Language Pathologist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Physician Assistant (Medical)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Registered Nurse (Community Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Technician
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Addiction (Substance Use Disorder))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Nutritionist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Registered Nurse (Community Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Addiction (Substance Use Disorder))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Dental Hygienist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760428650, enumerated as an "organization" on June 21, 2006.

The provider is located at 32014 LITTLE BOSTON RD NE KINGSTON, WA 98346 and the phone number is (360) 297-9601.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.