MEDTRIQ TREATMENT CENTER LLC
NPI 1215446729
Clinic/Center in University Place, WA

NPI Status: Active since September 27, 2017

Contact Information

2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 666-6780
Fax: (253) 666-6793

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About MEDTRIQ TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Medtriq Treatment Center Llc, a provider established in University Place, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215446729 assigned on September 2017. The practitioner's primary taxonomy code is 261Q00000X with license number 604172507 (WA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Ajainder Shergill Do (Owner)

NPI
1215446729
Provider Name
MEDTRIQ TREATMENT CENTER LLC
Entity Type
Organization
Location Address
2603 BRIDGEPORT WAY W STE F UNIVERSITY PLACE, WA 98466
Location Phone
(253) 666-6780
Location Fax
(253) 666-6793
Mailing Address
1567 HIGHLANDS DR NE STE 110-345 ISSAQUAH, WA 98029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2017
Last Update Date
01-29-2018
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
604172507
License State
WA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

*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

DR. AJAINDER SHERGILL DO

Authorized Official Title
OWNER
Authorized Official Phone
(360) 334-1882

Reviews for MEDTRIQ TREATMENT CENTER LLC

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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.
1215446729
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225841274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 8 + 4 + 1 + 2 + 7 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1215446729 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811174071CHERYL M YOKOYAMA MD PS
Organization
Technician/Technologist (Ophthalmic Assistant)2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
(253) 564-4073
1841605524MEDTRIQ LLC
Organization
Clinic/Center (Primary Care)2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
(253) 666-6780
1851926992CLEAR MENTAL HEALTH LLC
Organization
Psychiatry & Neurology (Psychiatry)2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
(253) 666-6780
1366648222DR. AJAINDER SHERGILL D.O., M.B.A
Individual
Internal Medicine (Addiction Medicine)2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
(253) 666-6780
1548445505MS. CHRISTINE BLACKBURN FNP-C
Individual
Nurse Practitioner (Family)2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
(253) 666-6780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215446729, enumerated in the NPI registry as an "organization" on September 27, 2017

The provider is located at 2603 Bridgeport Way W Ste F University Place, Wa 98466 and the phone number is (253) 666-6780

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. 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 September 27, 2017. 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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