KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (NPI# 1194859785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194859785 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Other Organization Name | SOUTH REGAL HEALTH CARE CENTER |
| Practice Address |
4102 S Regal St Suite 101 Spokane WA 99223-7737 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 5095352277 |
| Practice Fax Number | 5094343182 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | KATHY BEERY (DIRECTOR) |
| Authorized Official Telephone | 2066301818 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH COOPERATIVE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CF00003595 | WA | Suppliers |
| Y | 333600000X | Pharmacy | CF00003595 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4923985 | 01 |
| Other Name | Type Code |
|---|---|
| South Regal Health Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1942591532 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 5821 S Sprague Court, Tacoma, WA 98409 | 2011-04-29 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 1891829644 | Kaiser Foundation Health Plan of Washington | Pharmacy | 700 N Lilly Road, Olympia, WA 98056-5196 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 601 Union St, Ste 3100, Seattle, WA 98101-2341 |
| Street Address |
4102 S REGAL ST SUITE 101 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174680037 | Fredric A. Shepard | Family Medicine | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-01-02 |
| 1679865166 | Damon Orthodontics, Pllc | Dentist | 4102 S Regal St, Suite 104, Spokane, WA 99223-5083 | 2011-05-03 |
| 1649561622 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 4102 S Regal St, Suite 101, Spokane, WA 99223-5083 | 2011-04-26 |
| 1205961208 | Veronique T Alcaraz | Internal Medicine | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-22 |
| 1588702989 | Stacy N Lake | Pharmacist | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-01 |
| 1326186727 | Katherine Laughlin | Pharmacist | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-02-01 |
| 1366599078 | Thomas H. Charles | Physician Assistant | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-01-04 |
| 1710034996 | Joseph J. Charyk | Family Medicine | 4102 S Regal St, Suite 101, Spokane, WA 99223-7737 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1063886992 | Yokes Foods Inc | Pharmacy | 4235 S Cheney Spokane Rd, Spokane, WA 99224-9661 | 2015-11-16 |
| 1932241825 | Arthur R Tyrrell | Pharmacy | 928 S Perry St, Spokane, WA 99202-3463 | 2007-02-14 |
| 1568551430 | Credena Health LLC | Pharmacy | 101 W 8th Ave Ste 207653, Spokane, WA 99204 | 2006-10-11 |
| 1386747558 | Well Life Pharmacy Incorporated | Pharmacy | 5608 S Regal St Ste 102, Spokane, WA 99223-7957 | 2006-09-06 |
| 1912924044 | Walmart Inc. | Pharmacy | 9212 N Colton St, Spokane, WA 99218-1284 | 2006-07-16 |
| 1992722011 | Walmart Inc. | Pharmacy | 2301 W Wellesley Ave, Spokane, WA 99205-5004 | 2006-07-16 |
| 1972537900 | Yokes Food Inc | Pharmacy | 3321 W Indian Trail Rd, Spokane, WA 99208-4762 | 2006-07-10 |
| 1538193099 | Yokes Food Inc | Pharmacy | 210 E North Foothills Dr, Spokane, WA 99207-2155 | 2006-07-10 |
| 1841226057 | Fred Meyer Stores Inc | Pharmacy | 525 E Francis Ave, Spokane, WA 99208-1039 | 2006-06-23 |
| Find all providers in SPOKANE | ||||
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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.