PEACEHEALTH NETWORKS ON DEMAND, LLC
NPI 1740890268
Non-Pharmacy Dispensing Site in Bellevue, WA
NPI Status: Active since August 10, 2020
Contact Information
10541 NE 4TH ST
BELLEVUE, WA
ZIP 98004
Phone: (503) 684-8252
Fax: (833) 450-6407
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 50D2172926
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 04-04-2028
About PEACEHEALTH NETWORKS ON DEMAND, LLC
This page provides the complete NPI Profile along with additional information for Peacehealth Networks On Demand, Llc, a provider established in Bellevue, Washington operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1740890268 assigned on August 2020. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated March 2025. The provider's
- NPI
- 1740890268
- Provider Legal Name
- PEACEHEALTH NETWORKS ON DEMAND, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 10541 NE 4TH ST BELLEVUE, WA 98004
- Location Phone
- (503) 684-8252
- Location Fax
- (833) 450-6407
- Mailing Address
- 11958 SW GARDEN PL TIGARD, OR 97223
- Mailing Phone
- (503) 684-8252
- Mailing Fax
- (833) 450-6407
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-10-2020
- Last Update Date
- 03-10-2025
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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.
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
- 50D2172926
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- May 02, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ERIC DIEGEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peacehealth Networks On Demand, Llc 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.
Reviews for PEACEHEALTH NETWORKS ON DEMAND, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 7 | 4 | 0 | 8 | 9 | 0 | 2 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 16 | 9 | 0 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 6 + 9 + 0 + 2 + 1 + 2 + 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 1740890268 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720321771 | JUNG HA KIM Individual | Emergency Medicine | 10541 NE 4TH ST BELLEVUE, WA 98004 (503) 684-8252 |
| 1982164943 | ARSALAN ABDUL HAMID ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 10541 NE 4TH ST BELLEVUE, WA 98004 (954) 881-4151 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740890268, enumerated in the NPI registry as an "organization" on August 10, 2020
The provider is located at 10541 Ne 4th St Bellevue, Wa 98004 and the phone number is (503) 684-8252
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
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 50D2172926 for a "other - clinic" 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 August 10, 2020. 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.