LIFELINE CONNECTIONS
NPI 1689892473
Substance Abuse Rehabilitation Facility in Vancouver, WA
NPI Status: Active since April 24, 2007
Contact Information
1601 E FOURTH PLAIN BLVD
BUILDING 17
VANCOUVER, WA
ZIP 98661
Phone: (360) 397-8246
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
About LIFELINE CONNECTIONS
This page provides the complete NPI Profile along with additional information for Lifeline Connections, a provider established in Vancouver, Washington operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1689892473 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number RTF - 1075 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kinh Reynolds (Cfo)
- NPI
- 1689892473
- Provider Name
- LIFELINE CONNECTIONS
- Entity Type
- Organization
- Location Address
- 1601 E FOURTH PLAIN BLVD BUILDING 17 VANCOUVER, WA 98661
- Location Phone
- (360) 397-8246
- Mailing Address
- PO BOX 1678 VANCOUVER, WA 98668
- Mailing Phone
- (360) 397-8246
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2007
- Last Update Date
- 03-01-2023
- Code Navigator
Location Map
Secondary Locations
- 5197 NW Lower River Rd
Vancouver, WA 98660
(360) 205-1222 - 6221 NE Fourth Plain Blvd Ste A
Vancouver, WA 98661
(360) 609-8031 - 11719 NE 95th St Ste A
Vancouver, WA 98682
(360) 984-5511 - 2924 Falk Rd
Vancouver, WA 98661
(360) 949-3976 - 11719 NE 95th St Ste D
Vancouver, WA 98682
(360) 397-8246
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
- License No.
- RTF - 1075
- License State
- WA
- 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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/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
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - 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
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- 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
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
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 |
|---|---|---|---|
| 1990126 | 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 | 8 | 9 | 8 | 9 | 2 | 4 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 16 | 9 | 4 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 6 + 9 + 4 + 4 + 1 + 4 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1689892473 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1699704452 | MR. CARL EDWARD MUENCH REGISTERED PHARMACIS Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1811927809 | MS. SANDRA BOOK HEFFRON M.A. CCC-A Individual | Audiologist | 1601 E FOURTH PLAIN BLVD (V-5-AUD) VANCOUVER, WA 98661 (360) 696-4061 |
| 1639197221 | DR. ALAN L MELNICK M.D. Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 397-8412 |
| 1255353215 | DORIS T PENG PHARMACIST Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD V-5-PHARM VANCOUVER, WA 98661 (503) 220-8262 |
| 1891719167 | DOUGLAS D KING PHARMACIST Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD V-5-PHARM VANCOUVER, WA 98661 (503) 220-8262 |
| 1679597066 | DR. JENNIFER SHARON CHUI PHARM.D. Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 690-1837 |
| 1962416883 | NANCY MCFARLANE CTRS Individual | Recreation Therapist | 1601 E FOURTH PLAIN BLVD BLDG D-7 SATP VANCOUVER, WA 98661 (360) 737-1439 |
| 1033125182 | DR. GEORGE C LEE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1376550491 | ALICIA BAHRKE-OUELLETTE RPH Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1942210638 | MR. DUNG TUAN NGUYEN RPH Individual | Pharmacist | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 690-1837 |
| 1316957301 | GLORIA R BERTRAM ARNP Individual | Nurse Practitioner | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 397-8024 |
| 1437169406 | MARNI A STOREY ARNP Individual | Nurse Practitioner | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 397-8434 |
| 1316957236 | LOTTIE I SHARP-YORK ANP Individual | Nurse Practitioner (Adult Health) | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1295745255 | LINDA A BINGOLD ARNP Individual | Nurse Practitioner | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 397-8089 |
| 1699787622 | MR. LAURENCE F. BRENNAN MSW Individual | Social Worker (Clinical) | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1760494777 | MR. KEITH WAYNE SCHEFF LCSW Individual | Social Worker (Clinical) | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1801902465 | MR. PAUL T WATSON RN, MS, FNP, ARNP Individual | Nurse Practitioner (Family) | 1601 E FOURTH PLAIN BLVD BLDG D7 VANCOUVER, WA 98661 (888) 233-8305 |
| 1386750966 | DOYLE W KELLEY PA Individual | Physician Assistant | 1601 E FOURTH PLAIN BLVD VANCOUVER, WA 98661 (360) 696-4061 |
| 1881701902 | MONICA M GOEI M.D. Individual | Internal Medicine | 1601 E FOURTH PLAIN BLVD VANCOUVER VA MEDICAL CENTER, V3 C&P VANCOUVER, WA 98661 (503) 220-8262 |
| 1215046156 | MRS. AMLA M TOMKORIA PT Individual | Physical Therapist | 1601 E FOURTH PLAIN BLVD BUILDING D7 VANCOUVER, WA 98661 (360) 696-4061 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689892473, enumerated in the NPI registry as an "organization" on April 24, 2007
The provider is located at 1601 E Fourth Plain Blvd Building 17 Vancouver, Wa 98661 and the phone number is (360) 397-8246
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. 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 April 24, 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].
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