EVERGREEN TREATMENT SERVICES UNIT 4
NPI 1558416685
Clinic/Center - Methadone in Seattle, WA

NPI Status: Active since January 25, 2007

Contact Information

1700 AIRPORT WAY S
SEATTLE, WA
ZIP 98134
Phone: (206) 223-3644
Fax: (202) 223-1482

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  • Organization
  • Clinic/Center
  • Methadone

About EVERGREEN TREATMENT SERVICES UNIT 4

This page provides the complete NPI Profile along with additional information for Evergreen Treatment Services Unit 4, a provider established in Seattle, Washington operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1558416685 assigned on January 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 17 0163 00 (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 Margaret Carney (Executive Director)

NPI
1558416685
Provider Name
EVERGREEN TREATMENT SERVICES UNIT 4
Entity Type
Organization
Location Address
1700 AIRPORT WAY S SEATTLE, WA 98134
Location Phone
(206) 223-3644
Location Fax
(202) 223-1482
Mailing Address
1700 AIRPORT WAY S SEATTLE, WA 98134
Mailing Phone
(206) 223-3644
Mailing Fax
(202) 223-1482
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-25-2007
Last Update Date
04-11-2017
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
17 0163 00
License State
WA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

MARGARET CARNEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(206) 223-3644

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
8008203MEDICAID (05)WA 
1995414MEDICAID (05)WA 

Reviews for EVERGREEN TREATMENT SERVICES UNIT 4

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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.
1558416685
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251088112616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 8 + 1 + 1 + 2 + 6 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1558416685 is valid because the calculated check digit 5 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
1518169895MS. JACQUELYN KAY BROLSMA ARNP
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1073788014MR. RONARD GIDDINGS P.A.-C
Individual
Physician Assistant (Medical)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1801051842 YOJI KOBAYASHI L.AC
Individual
Acupuncturist1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-1373
1932521705MS. MARGARET ANN SEVERSON ARNP
Individual
Nurse Practitioner (Family)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1780956599 ROBERT HORACE KUBINIEC PA-C
Individual
Physician Assistant1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1922153055EVERGREEN TREATMENT SERVICES UNIT 2
Organization
Clinic/Center (Methadone)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1831244961EVERGREEN TREATMENT SERVICES UNIT 3
Organization
Clinic/Center (Methadone)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1740335876EVERGREEN TREATMENT SERVICES UNIT 6
Organization
Clinic/Center (Methadone)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1639356132EVERGREEN TREATMENT SERVICES UNIT 7
Organization
Case Management1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1851547244EVERGREEN TREATMENT SERVICES
Organization
Clinic/Center (Methadone)1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1679040703 CAROL DAVIDSON CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1659848786 MARY LELOO CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1689141715 LISA SCHALLHORN CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1851868418 ROSE ABBOTT CNA
Individual
Nurse's Aide1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1447727003 CHRISTOPHER EDWARDS CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1497222061 MARCI SCHEFSTROM RN
Individual
Registered Nurse1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1922575588 CRISTINA COUPE CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-6644
1023585692 LIYU YIRDAW LPN
Individual
Licensed Practical Nurse1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1033686605 MARY PACHA CDPT
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644
1558838110 CATHY CRAIG CDP
Individual
Counselor (Addiction (Substance Use Disorder))1700 AIRPORT WAY S
SEATTLE, WA 98134
(206) 223-3644

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558416685, enumerated in the NPI registry as an "organization" on January 25, 2007

The provider is located at 1700 Airport Way S Seattle, Wa 98134 and the phone number is (206) 223-3644

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

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 January 25, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.