QUINAULT CHEMICAL DEPEDENCY
NPI 1518180744
Clinic/Center - Rehabilitation, Substance Use Disorder in Taholah, WA

NPI Status: Active since April 10, 2007

Contact Information

1505 KLA-OOK-WA DR
TAHOLAH, WA
ZIP 98587
Phone: (360) 276-4405
Fax: (360) 276-9991

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About QUINAULT CHEMICAL DEPEDENCY

This page provides the complete NPI Profile along with additional information for Quinault Chemical Depedency, a provider established in Taholah, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1518180744 assigned on April 2007. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is David A Hagen Cdp (Program Manager)

NPI
1518180744
Provider Name
QUINAULT CHEMICAL DEPEDENCY
Entity Type
Organization
Location Address
1505 KLA-OOK-WA DR TAHOLAH, WA 98587
Location Phone
(360) 276-4405
Location Fax
(360) 276-9991
Mailing Address
PO BOX 219 1505 KLA-OOK-WA DR TAHOLAH, WA 98587
Mailing Phone
(360) 276-4405
Mailing Fax
(360) 276-9991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
03-01-2012
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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:

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

DAVID A HAGEN CDP

Authorized Official Title
PROGRAM MANAGER
Authorized Official Phone
(360) 276-4405

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
1992817MEDICAID (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.
1518180744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252828078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 8 + 0 + 7 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1518180744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457542847QUINAULT INDIAN NATION
Organization
Clinic/Center (Dental)1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1750573911QUINAULT INDIAN NATION
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1477737781 HOLLY ANNE MULLINS MASSAGE PRACTITIONER
Individual
Massage Therapist1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1932678224 TRICIA DEE BUMGARNER MA
Individual
Massage Therapist1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1225657844 PAVEL MITIN PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1265642219 GREGORY G KOZLOWSKI DDS
Individual
Dentist (General Practice)1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1851563860 MARY LOUISE HART ARNP
Individual
Nurse Practitioner (Family)1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-4405
1053192377 MISHELLE JACKSON SUDPT
Individual
Counselor (Addiction (Substance Use Disorder))1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
(360) 276-8215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518180744, enumerated in the NPI registry as an "organization" on April 10, 2007

The provider is located at 1505 Kla-ook-wa Dr Taholah, Wa 98587 and the phone number is (360) 276-4405

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

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 April 10, 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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