PROMEDICA SKILLED NURSING AND REHABILITATION (SALMON CREEK)
NPI 1609171081
Skilled Nursing Facility in Vancouver, WA
NPI Status: Active since January 17, 2011
Contact Information
2811 NE 139TH ST
VANCOUVER, WA
ZIP 98686
Phone: (360) 574-5247
Fax: (360) 574-9126
- Organization
- Skilled Nursing Facility
- CLIA Number: 50D2022221
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-04-2028
About PROMEDICA SKILLED NURSING AND REHABILITATION (SALMON CREEK)
This page provides the complete NPI Profile along with additional information for Promedica Skilled Nursing And Rehabilitation (salmon Creek), a provider established in Vancouver, Washington operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1609171081 assigned on January 2011. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Promedica Skilled Nursing And Rehabilitation (salmon Creek). The authorized official of this NPI record is Mr. Martin D Allen (Director)
- NPI
- 1609171081
- Provider Legal Name
- MANOR CARE OF SALMON CREEK WA, ASSOCIATION
- Other Organization Name
- PROMEDICA SKILLED NURSING AND REHABILITATION (SALMON CREEK)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2811 NE 139TH ST VANCOUVER, WA 98686
- Location Phone
- (360) 574-5247
- Location Fax
- (360) 574-9126
- Mailing Address
- 333 N SUMMIT ST TOLEDO, OH 43604
- Mailing Phone
- (419) 252-5500
- Mailing Fax
- (360) 574-9126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2011
- Last Update Date
- 02-11-2022
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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 |
|---|---|---|---|
| 1609171081 | MEDICAID (05) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2022221
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- March 29, 2011
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- STEPHANIE THOMAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Promedica Skilled Nursing And Rehabilitation (salmon Creek) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROMEDICA SKILLED NURSING AND REHABILITATION (SALMON CREEK)
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 6 | 0 | 9 | 1 | 7 | 1 | 0 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 7 | 2 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 7 + 2 + 0 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1609171081 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1689833766 | PAMELA DUNNICK ARNP Individual | Nurse Practitioner (Adult Health) | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 882-2778 |
| 1922588532 | STACEY ANNE KOEHLER-WEST AGPCNP Individual | Nurse Practitioner (Gerontology) | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 882-2778 |
| 1154958429 | MARK CHAPMAN WOODS OTR Individual | Occupational Therapist (Gerontology) | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 574-5247 |
| 1083892665 | WENDY KAY KELLAM PAC Individual | Physician Assistant | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 574-5247 |
| 1417524802 | ANTHONY LEON VU Individual | Physical Therapist | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 574-5247 |
| 1831522747 | MS. ODESSA DICKERSON PA Individual | Physician Assistant | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 882-2778 |
| 1851099873 | SALMON CREEK SNF OPERATIONS LLC Organization | Skilled Nursing Facility | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 574-5247 |
| 1306197561 | MICAH SANDERS-MASSINGALE Individual | Speech-Language Pathologist | 2811 NE 139TH ST VANCOUVER, WA 98686 (360) 574-5247 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609171081, enumerated in the NPI registry as an "organization" on January 17, 2011
The provider is located at 2811 Ne 139th St Vancouver, Wa 98686 and the phone number is (360) 574-5247
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
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.
The provider's CLIA number is 50D2022221 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 17, 2011. 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.