OLYMPIC PENINSULA HEALTH SERVICES
NPI 1700373321
Internal Medicine - Addiction Medicine in Port Hadlock, WA

NPI Status: Active since April 19, 2018

Contact Information

661 NESS CORNER RD
PORT HADLOCK, WA
ZIP 98339
Phone: (360) 912-5777
Fax: (206) 472-6035

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  • Organization
  • Internal Medicine
  • Addiction Medicine
  • Accepts Insurance
  • CLIA Number: 50D2149530
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-04-2028

About OLYMPIC PENINSULA HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Olympic Peninsula Health Services, an internist established in Port Hadlock, Washington operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1700373321 assigned on April 2018. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Annie Failoni Arnp (Nurse Practitioner)

NPI
1700373321
Provider Name
OLYMPIC PENINSULA HEALTH SERVICES
Entity Type
Organization
Location Address
661 NESS CORNER RD PORT HADLOCK, WA 98339
Location Phone
(360) 912-5777
Location Fax
(206) 472-6035
Mailing Address
PO BOX 574 PORT HADLOCK, WA 98339
Mailing Phone
(360) 531-4272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2018
Last Update Date
01-08-2019
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An internist like Olympic Peninsula Health Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*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

ANNIE FAILONI ARNP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(360) 531-4272

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
50D2149530
Facility Type
Practitioner Other
Certificate Effective Date
June 05, 2018
Certificate Expiration Date
April 04, 2028
Laboratory Director
ANN FAILONI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Olympic Peninsula Health Services 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.

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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.
1700373321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270067634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 6 + 7 + 6 + 3 + 4 + 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 = 11

The NPI number 1700373321 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245257054 ANN M FAILONI ARNP
Individual
Nurse Practitioner (Adult Health)661 NESS CORNER RD
PORT HADLOCK, WA 98339
(360) 912-5777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700373321, enumerated in the NPI registry as an "organization" on April 19, 2018

The provider is located at 661 Ness Corner Rd Port Hadlock, Wa 98339 and the phone number is (360) 912-5777

This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D2149530 for a "practitioner other" 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 April 19, 2018. 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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