SUMMIT PACIFIC HEALTHCARE CLINIC
NPI 1942554183
Clinic/Center - Rural Health in Elma, WA

NPI Status: Active since November 08, 2012

Contact Information

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

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About SUMMIT PACIFIC HEALTHCARE CLINIC

This page provides the complete NPI Profile along with additional information for Summit Pacific Healthcare Clinic, a primary care provider established in Elma, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1942554183 assigned on November 2012. The practitioner's primary taxonomy code is 261QR1300X with license number HAC.FS.00000186 (WA). The provider is registered as an organization and their NPI record was last updated 12 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 provider's is doing business as Summit Pacific Healthcare Clinic. The authorized official of this NPI record is Mrs. Renee K Jensen (Ceo)

NPI
1942554183
Provider Legal Name
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Other Organization Name
SUMMIT PACIFIC HEALTHCARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 E. MAIN STREET ELMA, WA 98541
Location Phone
(360) 495-3244
Mailing Address
600 E. MAIN STREET ELMA, WA 98541
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2012
Last Update Date
11-04-2013
Code Navigator

A primary care provider (PCP) like Summit Pacific Healthcare Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
HAC.FS.00000186
License State
WA

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

HAC.FS.00000186 (WA)

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

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

MRS. 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
G000800088MEDICARE UPIN (02)WA 
508560MEDICARE OSCAR/CERTIFICATION (06)WA 
AB18052OTHER (01)WAGROUP MEDICARE NUMBER
7103815MEDICAID (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.
1942554183
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29821058116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 5 + 8 + 1 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1942554183 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750554366GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Organization
Medicare Defined Swing Bed Unit600 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 1942554183, enumerated in the NPI registry as an "organization" on November 08, 2012

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 Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. 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 08, 2012. 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.