AVALON CLINIC
NPI 1255544540
Clinic/Center in Lakewood, WA
NPI Status: Active since May 07, 2007
Contact Information
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 582-8486
Fax: (253) 582-2644
- Organization
- Clinic/Center
About AVALON CLINIC
This page provides the complete NPI Profile along with additional information for Avalon Clinic, a provider established in Lakewood, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255544540 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD00011944 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. David A Ekland M.d. (Plastic Surgeon)
- NPI
- 1255544540
- Provider Name
- AVALON CLINIC
- Entity Type
- Organization
- Location Address
- 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
- Location Phone
- (253) 582-8486
- Location Fax
- (253) 582-2644
- Mailing Address
- 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
- Mailing Phone
- (253) 582-8486
- Mailing Fax
- (253) 582-2644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2007
- Last Update Date
- 03-23-2012
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD00011944
- 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:
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.
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 |
---|---|---|---|
A04434 | MEDICARE UPIN (02) | 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 | 2 | 5 | 5 | 5 | 4 | 4 | 5 | 4 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 10 | 4 | 8 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 8 + 5 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1255544540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1265654958 | AVALON CLINIC Organization | Clinic/Center | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 582-8486 |
1164635454 | AVALON CLINIC Organization | Clinic/Center | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 582-8486 |
1154672137 | DR. DAVID EKLAND M.D. Individual | Specialist | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 582-8486 |
1295209302 | AMANDA NICHOLSON Individual | Counselor (Mental Health) | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1104380120 | MYRIAM MAMPENGU Individual | Case Manager/Care Coordinator | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 263-3221 |
1710590831 | OLIVIA NOELLE DOMINGO LSWAIC Individual | Social Worker (Clinical) | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 215-7070 |
1700379427 | MOISES LOZACRUZ MSW Individual | Social Worker (Clinical) | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 215-7070 |
1770156333 | ERVA HOPSON Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1790452142 | RACHEL WERTS Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1275202491 | JESSICA BURGANS Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1295464030 | KELLEN SMALLEY Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1811616147 | TAMMY SMITH-BROWN Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1881313112 | MICHAEL VERDONK Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1528770054 | JENNIFER BRINK Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1902596679 | EVA NORTHCUTT Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1174201586 | MASON CULBERTSON Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1386426088 | ANITA LIANG Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1841062767 | KATHY HASKINS Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1548037237 | MARIZA MENDIOLA-PORTER Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
1831968296 | JAMARLON LATHAM Individual | Counselor | 6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499 (253) 833-7444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255544540, enumerated in the NPI registry as an "organization" on May 07, 2007
The provider is located at 6103 Mount Tacoma Dr Sw Lakewood, Wa 98499 and the phone number is (253) 582-8486
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 May 07, 2007. 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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