VALLEY GENERAL HOSPITAL SKY RIVER INTERNAL MEDICINE CLINIC
NPI 1801960034
Clinic/Center in Monroe, WA

NPI Status: Active since November 20, 2006

Contact Information

14701 179TH AVE SE
MONROE, WA
ZIP 98272
Phone: (360) 794-7497

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  • Organization
  • Clinic/Center

About VALLEY GENERAL HOSPITAL SKY RIVER INTERNAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Valley General Hospital Sky River Internal Medicine Clinic, a provider established in Monroe, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1801960034 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 315001168 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Valley General Hospital Sky River Internal Medicine Clinic. The authorized official of this NPI record is Mr. Mark Judy (Ceo)

NPI
1801960034
Provider Legal Name
PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
Other Organization Name
VALLEY GENERAL HOSPITAL SKY RIVER INTERNAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14701 179TH AVE SE MONROE, WA 98272
Location Phone
(360) 794-7497
Mailing Address
14701 179TH AVE SE MONROE, WA 98272
Mailing Phone
(360) 794-7497
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2006
Last Update Date
07-09-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
315001168
License State
WA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

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

MR. MARK JUDY

Authorized Official Title
CEO
Authorized Official Phone
(360) 794-1447

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
=========OTHER (01)WATIN
001255800MEDICARE ID-TYPE UNSPECIFIED (04)WAMEDICARE PART B
50-0084MEDICARE OSCAR/CERTIFICATION (06)WA 
7034564MEDICAID (05)WA 

Reviews for VALLEY GENERAL HOSPITAL SKY RIVER INTERNAL MEDICINE CLINIC

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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.
1801960034
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801186006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 8 + 6 + 0 + 0 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1801960034 is valid because the calculated check digit 4 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
1477520914 KYUNG EUN MIN MD
Individual
Internal Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1023062205PHYSICIANS ANESTHESIA OF MONROE, PLLC
Organization
Anesthesiology14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497
1023063369 JOHN D ALLDERDICE MD
Individual
Emergency Medicine (Emergency Medical Services)14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497
1437263993DR. DERMOT PETER CHAMBERLAIN M.D.
Individual
Specialist14701 179TH AVE SE VALLEY GENERAL HOSPITAL
MONROE, WA 98272
(360) 794-1429
1962513572PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY
Organization
Psychiatric Unit14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1568573137 SHAUNA ZEMP MINER ARNP
Individual
Nurse Practitioner14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1912094384MRS. PAMELA MARY MAJERLE M.P.H. R.D. C.D.
Individual
Dietitian, Registered14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1205973708 BADROSSADAT MADANI M.D.
Individual
Pediatrics (Adolescent Medicine)14701 179TH AVE SE
MONROE, WA 98272
(360) 863-4664
1063657377PUBLIC HOSPITAL DISTRIST NO. 1 OF SNOHOMISH COUNTY
Organization
Preventive Medicine (Undersea and Hyperbaric Medicine)14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1245568153MRS. MARIYA SHURNENE MS, RD, CN
Individual
Dietitian, Registered14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1881037893COLUMBIA BASIN IMAGING PC
Organization
Radiology (Diagnostic Radiology)14701 179TH AVE SE
MONROE, WA 98272
(509) 943-5616
1184691370 SIRI EIKO ITO MD
Individual
Internal Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1467880518LAKE TYE EMERGENCY PHYSICIANS PLLC
Organization
Emergency Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497
1558784025 JENNIFER SOLLEY PHARMD
Individual
Pharmacist14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1144644311 KATY FRIDRICH PHARM D
Individual
Pharmacist14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1528417318 JANE BETZER RD
Individual
Dietitian, Registered14701 179TH AVE SE
MONROE, WA 98272
(360) 794-1447
1316303852 MOHAMMAD SHAWISH RPH
Individual
Pharmacist (Psychiatric)14701 179TH AVE SE
MONROE, WA 98272
(800) 453-7221
1104828813DR. MICHAEL E DORNEY M.D.
Individual
Internal Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497
1912163767DR. MIDORI K. LARRABEE M.D.
Individual
Internal Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497
1982642567DR. EMMANUEL M YRUMA M.D.
Individual
Internal Medicine14701 179TH AVE SE
MONROE, WA 98272
(360) 794-7497

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801960034, enumerated in the NPI registry as an "organization" on November 20, 2006

The provider is located at 14701 179th Ave Se Monroe, Wa 98272 and the phone number is (360) 794-7497

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 November 20, 2006. 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.