WASHINGTON ODD FELLOWS HOME
NPI 1639169097
Skilled Nursing Facility in Walla Walla, WA

NPI Status: Active since October 26, 2005

Contact Information

534 BOYER AVENUE
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-6463
Fax: (509) 526-6883

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  • Organization
  • Skilled Nursing Facility

About WASHINGTON ODD FELLOWS HOME

This page provides the complete NPI Profile along with additional information for Washington Odd Fellows Home, a provider established in Walla Walla, Washington operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1639169097 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number NH351 (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 John R Brigham (Administrator)

NPI
1639169097
Provider Name
WASHINGTON ODD FELLOWS HOME
Entity Type
Organization
Location Address
534 BOYER AVENUE WALLA WALLA, WA 99362
Location Phone
(509) 525-6463
Location Fax
(509) 526-6883
Mailing Address
534 BOYER AVENUE WALLA WALLA, WA 99362
Mailing Phone
(509) 525-6463
Mailing Fax
(509) 526-6883
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2005
Last Update Date
02-23-2011
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
NH351
License State
WA
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.

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

JOHN R BRIGHAM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(509) 525-6463

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
1015156MEDICAID (05)WA 
4135109MEDICAID (05)WA 
505421MEDICARE OSCAR/CERTIFICATION (06)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.
1639169097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26692618018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639169097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639169097, enumerated in the NPI registry as an "organization" on October 26, 2005

The provider is located at 534 Boyer Avenue Walla Walla, Wa 99362 and the phone number is (509) 525-6463

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.

This NPI record was last updated on October 26, 2005. 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.