PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1053357244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053357244 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Other Organization Name | SKAGIT VALLEY HOSPITAL |
| Practice Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Mailing Address |
Po Box 3548 Seattle WA 98124-3548 |
| Practice Telephone | 3604244111 |
| Mailing Telephone | 3604244111 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3608145858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HAC.FS.00000207 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0177741 | 01 |
| WA | 1001267 | 05 |
| Other Name | Type Code |
|---|---|
| Skagit Valley Hospital | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Hospital Parkway, Mount Vernon, WA 982744126 | 3604244111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061765 | Public Hospital Dist No 1 Skagit | Clinic/Center | 875 Wesley St Ste 160, Arlington, WA 98223-1650 | 2007-03-19 |
| 1013064575 | Public Hospital Dist No 1 Skagit | Family Medicine | 1190 Riddle Street, Darrington, WA 98241 | 2007-01-05 |
| 1093889875 | Public Hospital Dist No 1 Skagit | Clinic/Center | 208 S. Hospital Parkway, Mount Vernon, WA 98274-4126 | 2006-11-20 |
| 1831131135 | Public Hospital Dist No 1 Skagit | Durable Medical Equipment & Medical Supplies | 1410 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-06-12 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1033164470 | Public Hospital Dist No 1 Skagit | Family Medicine | 405 W. Stanley Street, Granite Falls, WA 98252-8631 | 2006-05-24 |
| 1811460652 | Public Hospital Dist No 1 Skagit | Physical Therapy Assistant | 1901 Hoag Road, Suite B, Mount Vernon, WA 98273 | 2019-01-04 |
| 1497163448 | Public Hospital Dist No 1 Skagit | Emergency Medicine | 3823 172nd St Ne, Arlington, WA 98223-7735 | 2014-07-22 |
| 1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
| 1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360707 | Rick A Wenning | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-01-10 |
| 1396367561 | Sarah Zubair | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-05-11 |
| 1538798889 | Savannah Martha Broadlick | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-07 |
| 1639708175 | Melinda Mae Mantooth | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-06 |
| 1699303974 | Matthew Kon | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-31 |
| 1518595412 | Rhandy Ceballos | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-28 |
| 1467089235 | Khadij Assani | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-23 |
| 1689210874 | Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-11-22 |
| 1760023170 | Jessica K. Fletcher | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-10-07 |
| 1932769007 | Kerrie Steffan | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720471824 | Haydar Al-dabbagh | General Acute Care Hospital | 660 Locust St Apt B7, Mount Vernon, NY 10552-2663 | 2015-03-13 |
| 1194807438 | East Texas Medical Center Mount Vernon | General Acute Care Hospital | 500 Hwy 37 S, Mount Vernon, TX 75457-6550 | 2006-10-19 |
| 1205821113 | East Texas Medical Center Mount Vernon | General Acute Care Hospital | 500 South State Highway 37, Mount Vernon, TX 75457-6550 | 2005-09-16 |
| 1306260211 | Montefiore Mount Vernon Hospital | General Acute Care Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2014-02-12 |
| 1356619761 | The Mount Vernon Hospital | General Acute Care Hospital | 12 N 7th Ave, Mount Vernon East, Mount Vernon, NY 10550-2026 | 2011-12-13 |
| 1326374810 | Act & Icm/scm | General Acute Care Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2009-10-19 |
| 1346399037 | Mount Vernon Hospital | General Acute Care Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2007-01-10 |
| 1295761963 | Knox Community Hospital | General Acute Care Hospital | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2006-06-24 |
| 1750353041 | National Healthcare of Mt Vernon Inc | General Acute Care Hospital | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373604 | University of Washington Medicine | General Acute Care Hospital | 525 N Bowdoin Pl, Apt 101, Seattle, WA 98103 | 2016-09-01 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
| 1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
| 1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
| 1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
| 1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.