UPPER SKAGIT TRIBAL CLINIC
NPI 1336129295
Counselor, Addiction (substance Use Disorder) in Sedro Woolley,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 18, 2006

Contact Information

25959 Community Plaza Way
Sedro Woolley,
Post Code: 98284
Phone: (360) 854-7070
Fax: (360) 854-7060

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Upper Skagit Tribal Clinic in Sedro Woolley - Counselor, Addiction (Substance Use Disorder)

Upper Skagit Tribal Clinic is a Counselor, Addiction (Substance Use Disorder) in Sedro Woolley, . Upper Skagit Tribal Clinic practices all healthcare services and medical treatments related to Counselor, Addiction (Substance Use Disorder). The NPI Number for Upper Skagit Tribal Clinic is 1336129295. The last update date is 2019-07-23.

Upper Skagit Tribal Clinic's current location address is 25959 Community Plaza Way, Sedro Woolley, . You can contact this provider via phone number (360) 854-7070 and fax number (360) 854-7060. The mailing address for Upper Skagit Tribal Clinic is 25959 Community Plaza Way, Sedro Woolley, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1336129295
Provider Legal Name
UPPER SKAGIT INDIAN TRIBE
Other Organization Name
UPPER SKAGIT TRIBAL CLINIC
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
25959 Community Plaza Way, Sedro Woolley,
Location Phone
(360) 854-7070
Location Fax
(360) 854-7060
Mailing Address
25944 Community Plaza Way, Sedro Woolley, Washington(WA)
Mailing Phone
360-854-7070
Mailing Fax
360-854-7060
Enumeration Date
2006-01-18
Last Update Date
2019-07-23
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
Washington (WA)
Taxonomy Description
-

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)
1 101YA0400X Addiction (Substance Use Disorder) Counselor

Counselor, Addiction (Substance Use Disorder)

CP00001654 (Washington)
2 103TC1900X Counseling Psychologist

Psychologist, Counseling

;H00008445 (Washington)
3 104100000X Social Worker

Social Worker

RC00047287 (Washington)
4 133V00000X Registered Dietitian

Dietitian, Registered

DI00001414 (Washington)
5 133V00000X Registered Dietitian

Dietitian, Registered

LP00022558 (Washington)
6 208600000X Surgery Physician

Surgery

MD00012663 (Washington)
7 208D00000X General Practice Physician

General Practice

MD00012663 (Washington)
8 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

AP30006120 (Washington)

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
1008805 MEDICAID (05) Washington (WA)
1981323 MEDICAID (05) Washington (WA)
1995281 MEDICAID (05) Washington (WA)
7084338 MEDICAID (05) Washington (WA)
7203805 MEDICAID (05) Washington (WA)
8024291 MEDICAID (05) Washington (WA)
8466286 MEDICAID (05) Washington (WA)
9645573 MEDICAID (05) Washington (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.
1336129295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23662218218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23662218218
2 + 3 + 6 + 6 + 2 + 2 + 1 + 8 + 2 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1336129295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265435218 CAREY LEEDS
Individual
Obstetrics & Gynecology 803 E LINCOLN AVE
SUNNYSIDE, Washington (WA)
509-837-1550
1194728329 JOHN J LOFFARELLI
Individual
Internal Medicine 820 N CHELAN AVE
WENATCHEE, Washington (WA)
509-663-8711
1285637298 DIVIS K KHAIRA
Individual
Internal Medicine 1615 DELAWARE ST
LONGVIEW, Washington (WA)
360-414-7878
1194728105 NAVOS
HIGHLINE WEST SEATTLE MENTAL HEALTH
Organization
Counselor, Mental Health 2600 SW HOLDEN ST
SEATTLE, Washington (WA)
206-933-7214
1063415198 PROVIDENCE HEALTH & SERVICES WASHINGTON
PROVIDENCE SOUNDHOMECARE AND HOSPICE
Organization
Home Health 4200 6TH AVE SE
LACEY, Washington (WA)
360-459-8311