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50D0906711 CLIA NUMBER - PROVIDENCE ELDERPLACE

Laboratory Demographics

CLIA Number: 50D0906711

Facility Name: PROVIDENCE ELDERPLACE

Facility Address:
4515 MARTIN LUTHER KING JR WAY S STE 100
SEATTLE, WA
ZIP 98108
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Facility Phone Number: 206 320-5325

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1881681518

Taxonomy: 302F00000X - Exclusive Provider Organization
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

CLIA Record

Field Name Field Value
CLIA Number 50D0906711
LAB Type Other
Facility Name PROVIDENCE ELDERPLACE
Street 4515 MARTIN LUTHER KING JR WAY S STE 100
City SEATTLE
State WA
ZIP 98108
Phone 206 320-5325
CertificateType 4
CertificateEffectiveDate 10/4/1995
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024