SQUAXIN ISLAND HEALTH CLINIC
NPI 1669532578
Clinic/Center in Shelton, WA
NPI Status: Active since December 11, 2006
Contact Information
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006
Fax: (360) 427-1951
- Organization
- Clinic/Center
About SQUAXIN ISLAND HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Squaxin Island Health Clinic, a provider established in Shelton, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1669532578 assigned on December 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Squaxin Island Health Clinic. The authorized official of this NPI record is Edward J. Fox Phd (Director Hhs)
- NPI
- 1669532578
- Provider Legal Name
- SQUAXIN ISLAND TRIBE
- Other Organization Name
- SQUAXIN ISLAND HEALTH CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 90 SE KLAH CHE MIN DR SHELTON, WA 98584
- Location Phone
- (360) 427-9006
- Location Fax
- (360) 427-1951
- Mailing Address
- 90 SE KLAH CHE MIN DR SHELTON, WA 98584
- Mailing Phone
- (360) 427-9006
- Mailing Fax
- (360) 427-1951
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2006
- Last Update Date
- 06-17-2008
- 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 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 |
|---|---|---|---|
| 7003767 | MEDICAID (05) | WA | |
| 7047772 | MEDICAID (05) | WA | |
| 1980994 | MEDICAID (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. | |||||||||
| 1 | 6 | 6 | 9 | 5 | 3 | 2 | 5 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 10 | 3 | 4 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 0 + 3 + 4 + 5 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1669532578 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821113119 | MR. CHARLES TIFFANY BARRET P.A.-C. Individual | Physician Assistant (Medical) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1588782247 | MS. MICHELLE LOUISE WILEY RDH Individual | Dental Hygienist | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1205007762 | BRENDA DORSEY MSW, LMHC Individual | Counselor (Mental Health) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 432-3921 |
| 1114184579 | MISS SUSAN ROWSON MA Individual | Counselor | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 432-3896 |
| 1063647923 | MS. PAMELA LYNN PETERS RN Individual | Registered Nurse | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1619241882 | DOUGLAS REITSCH RPH Individual | Pharmacist | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 432-3990 |
| 1316329980 | JONATHAN CORBIN WILTON M.D. Individual | Family Medicine | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1386263820 | MRS. DENEICE GURRAD RPH Individual | Pharmacist | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 432-3990 |
| 1619180981 | SQUAXIN ISLAND MEDICAL ENCOUNTER Organization | Clinic/Center (Health Service) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1255546578 | SQUAXIN ISLAND DENTAL CLINIC FFS Organization | Clinic/Center (Dental) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1003021338 | SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER Organization | Clinic/Center (Dental) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1912112244 | SQUAXIN ISLAND CHEMICAL DEPENDENCY ENCOUNTER Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1114135779 | SQUAXIN ISLAND MEDICAID ENCOUNTER Organization | Clinic/Center | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1598973158 | SQUAXIN ISLAND MEDICAL ENCOUNTER Organization | Clinic/Center (Health Service) | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1437825692 | RAYLEEN DENISE KIRKLAND PAC Individual | Physician Assistant | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1326207044 | MRS. RACHEL HELENA ARMAS ARNP, FNP-C Individual | Nurse Practitioner | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
| 1518849637 | RACHEL MARIE ESPANTO RN Individual | Registered Nurse | 90 SE KLAH CHE MIN DR SHELTON, WA 98584 (360) 427-9006 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669532578, enumerated in the NPI registry as an "organization" on December 11, 2006
The provider is located at 90 Se Klah Che Min Dr Shelton, Wa 98584 and the phone number is (360) 427-9006
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 December 11, 2006. 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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