SUMMIT PACIFIC MEDICAL CENTER
NPI 1750554366
Medicare Defined Swing Bed Unit in Elma, WA

NPI Status: Active since April 04, 2008

Contact Information

600 E. MAIN STREET
ELMA, WA
ZIP 98541
Phone: (360) 495-3244
Fax: (360) 495-4274

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About SUMMIT PACIFIC MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Summit Pacific Medical Center, a provider established in Elma, Washington operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1750554366 assigned on April 2008. The practitioner's primary taxonomy code is 275N00000X with license number H-186 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Summit Pacific Medical Center. The authorized official of this NPI record is Ms. Renee K Jensen (Ceo)

NPI
1750554366
Provider Legal Name
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other Organization Name
SUMMIT PACIFIC MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 E. MAIN STREET ELMA, WA 98541
Location Phone
(360) 495-3244
Location Fax
(360) 495-4274
Mailing Address
600 E. MAIN STREET ELMA, WA 98541
Mailing Phone
(360) 495-3244
Mailing Fax
(360) 495-4274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2008
Last Update Date
01-24-2013
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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

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
H-186
License State
WA
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

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

  • 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
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

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.

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.

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

MS. RENEE K JENSEN

Authorized Official Title
CEO
Authorized Official Phone
(360) 495-3244

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
GR6577OTHER (01)WAREGENCE BLUE SHEILD
3147709MEDICAID (05)WA 
18091OTHER (01)WAL&I ER FACILITY
G000800088OTHER (01)WAMEDICARE PRO FEE
7257108MEDICAID (05)WA 
8903272OTHER (01)WACRIME VICTIMS
50Z304MEDICARE OSCAR/CERTIFICATION (06)WA 
CD1667OTHER (01)WARAILROAD MEDICARE
18090OTHER (01)WAL&I ER DOC NUMBER
135OTHER (01)WAPREMERA
QMXPR0048030OTHER (01)WAMOLINA H/O

Reviews for SUMMIT PACIFIC MEDICAL CENTER

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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.
1750554366
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001058312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 8 + 3 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750554366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942554183GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Organization
Clinic/Center (Rural Health)600 E. MAIN STREET
ELMA, WA 98541
(360) 495-3244
1467522896GRAYS HARBOR PUBLIC HOSPITAL DISTRICT NO 1
Organization
Family Medicine600 E. MAIN STREET
ELMA, WA 98541
(360) 495-3500
1740211028GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Organization
General Acute Care Hospital (Critical Access)600 E. MAIN STREET
ELMA, WA 98541
(360) 495-3244
1730408964DR. BENJAMIN E. GOOD M.D.
Individual
Emergency Medicine600 E. MAIN STREET
ELMA, WA 98541
(360) 346-2222
1033787767 MARIEL CHAN MD
Individual
Student in an Organized Health Care Education/Training Program600 E. MAIN STREET
ELMA, WA 98541
(360) 346-2222
1063440964MS. TAMMY H. MOORE ARNP
Individual
Nurse Practitioner (Primary Care)600 E. MAIN STREET
ELMA, WA 98541
(360) 495-3244
1366775652MS. MARY ELLEN BIGGERSTAFF ARNP
Individual
Nurse Practitioner (Family)600 E. MAIN STREET
ELMA, WA 98541
(360) 495-3244
1619930914MS. BONNIE J. MCREYNOLDS ARNP
Individual
Nurse Practitioner600 E. MAIN STREET
ELMA, WA 98541
(360) 346-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750554366, enumerated in the NPI registry as an "organization" on April 04, 2008

The provider is located at 600 E. Main Street Elma, Wa 98541 and the phone number is (360) 495-3244

This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X

The provider might be accepting Accepts: PacificSource Health Plans, Medicare, Medicaid and. 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 04, 2008. 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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