PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON
NPI 1922259738
Family Medicine in Walla Walla, WA
NPI Status: Active since October 10, 2008
Contact Information
380 CHASE AVENUE
PMG SE WA
WALLA WALLA, WA
ZIP 99362
Phone: (509) 526-3333
Fax: (509) 526-8402
- Organization
- Family Medicine
About PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON
Providence Medical Group Southeast Washington is a primary care provider established in Walla Walla, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922259738 assigned on October 2008. The practitioner's primary taxonomy code is 207Q00000X with license number H-050 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Providence Medical Group Southeast Washington operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Providence Medical Group Southeast Washington. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Asst Sec Of Enrollment/dir Reimb St)
- NPI
- 1922259738
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Other Organization Name
- PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 380 CHASE AVENUE PMG SE WA WALLA WALLA, WA 99362
- Location Phone
- (509) 526-3333
- Location Fax
- (509) 526-8402
- Mailing Address
- PO BOX 32 LIBERTY LAKE, WA 99019
- Mailing Phone
- (509) 529-8905
- Mailing Fax
- (509) 526-8402
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2008
- Last Update Date
- 09-02-2022
- Code Navigator
A primary care provider (PCP) like Providence Medical Group Southeast Washington 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 .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H-050
- License State
- WA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | H-050 (WA) |
| 3 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | H-050 (WA) |
| 4 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | H-050 (WA) |
| 5 | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter | |
| 6 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Moda Health Plan, Inc.
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HSA 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3500 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6400 - EPO
- Moda Health Oregon Standard Bronze Plan (Affinity) - EPO
- Moda Health Oregon Standard Gold (Affinity) - EPO
- Moda Health Oregon Standard Silver (Affinity) - EPO
Mountain Health CO-OP
- Connect Bronze Expanded - PPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Option 2 - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
Providence Health Plan
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 115284 | OTHER (01) | WA | L&I STATE |
| 7028186 | MEDICAID (05) | WA |
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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. | |||||||||
| 1 | 9 | 2 | 2 | 2 | 5 | 9 | 7 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 5 | 18 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 5 + 1 + 8 + 7 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1922259738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154672947 | PROVIDENCE HEALTH & SERVICES - WASHINGTON Organization | Family Medicine | 380 CHASE AVENUE PMG SE WA RURAL HEALTH CLINIC WALLA WALLA, WA 99362 (509) 526-3333 |
| 1891046926 | PROVIDENCE HEALTH & SERVICES - WASHINGTON Organization | Clinic/Center (Rural Health) | 380 CHASE AVENUE PMG SE WA RURAL HEALTH CLINIC WALLA WALLA, WA 99362 (509) 526-3333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922259738, enumerated in the NPI registry as an "organization" on October 10, 2008
The provider is located at 380 Chase Avenue Pmg Se Wa Walla Walla, Wa 99362 and the phone number is (509) 526-3333
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Moda Health Plan, Inc., Mountain Health CO-OP,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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