PACIFIC NORTH RECOVERY CENTER, LLC
NPI 1669837449
Substance Abuse Rehabilitation Facility in Ridgefield, WA

NPI Status: Active since December 22, 2015

Contact Information

888 S HILLHURST RD
RIDGEFIELD, WA
ZIP 98642
Phone: (754) 300-3120
Fax: (888) 919-4431

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About PACIFIC NORTH RECOVERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Pacific North Recovery Center, Llc, a provider established in Ridgefield, Washington operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1669837449 assigned on December 2015. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Belina Surujon (Licensing & Contracting Director)

NPI
1669837449
Provider Name
PACIFIC NORTH RECOVERY CENTER, LLC
Entity Type
Organization
Location Address
888 S HILLHURST RD RIDGEFIELD, WA 98642
Location Phone
(754) 300-3120
Location Fax
(888) 919-4431
Mailing Address
100 SE 3RD AVE SUITE 1800 FT LAUDERDALE, FL 33394
Mailing Phone
(754) 300-3120
Mailing Fax
(888) 919-4431
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2015
Last Update Date
12-17-2024
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Location Map

Secondary Locations

  • 5114 NE 94th Ave
    Vancouver, WA 98662
    (754) 300-3120
  • 1261 Hillhurst Road Suite 7B
    Ridgefield, WA 98642
    (754) 300-3129

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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

*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

BELINA SURUJON

Authorized Official Title
LICENSING & CONTRACTING DIRECTOR
Authorized Official Phone
(754) 300-3120

Reviews for PACIFIC NORTH RECOVERY CENTER, LLC

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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.
1669837449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291631448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 6 + 3 + 1 + 4 + 4 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669837449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093266058 DENISE WILSON CDP
Individual
Counselor (Addiction (Substance Use Disorder))888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 887-6060
1033752076 SARAH N WASILK CP60200272
Individual
Counselor (Addiction (Substance Use Disorder))888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 887-6060
1760925184MS. NOELLE MICHELLE ANGELO SUDP
Individual
Counselor (Addiction (Substance Use Disorder))888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 887-6060
1710651229 BETHANY JOY NEAL LSWAIC, SUDP
Individual
Counselor (Addiction (Substance Use Disorder))888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 857-0007
1962177402 CYNTHIA DARR SUDPT
Individual
Counselor (Addiction (Substance Use Disorder))888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 857-0007
1871283226MR. MICHAEL C UNEKWE ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 857-0007
1023571643 HILLARY MASLIN PAULSEN MD
Individual
Psychiatry & Neurology (Addiction Psychiatry)888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 857-0007
1245009216 CHRISTINA CHUNG
Individual
Physician Assistant888 S HILLHURST RD
RIDGEFIELD, WA 98642
(757) 608-8152
1275208332MS. LINDSAY HARRIS LMHC
Individual
Counselor (Mental Health)888 S HILLHURST RD
RIDGEFIELD, WA 98642
(360) 857-0007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669837449, enumerated in the NPI registry as an "organization" on December 22, 2015

The provider is located at 888 S Hillhurst Rd Ridgefield, Wa 98642 and the phone number is (754) 300-3120

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. 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 22, 2015. 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.