PROVIDENCE HEALTH & SERVICES - WA (NPI# 1447402839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447402839 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WA |
| Other Organization Name | PROVIDENCE ST JOSEPH HOSPITAL |
| Practice Address |
500 E Webster Ave Chewelah WA 99109-9523 |
| Mailing Address |
Po Box 197 500 E Webster Chewelah WA 99109-0197 |
| Practice Telephone | 5099358211 |
| Practice Fax Number | 5099355205 |
| Mailing Telephone | 5099358211 |
| Mailing Fax Number | 5099355205 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | WA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Providence St Joseph Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1750783759 | Providence Health & Services - Wa | Pharmacy | 916 Pacific Ave, Everett, WA 98201-4147 | 2014-09-22 |
| 1972927267 | Providence Health & Services - Wa | Emergency Response System Companies | 2731 Wetmore Ave, Suite 500, Everett, WA 98201-3571 | 2014-02-07 |
| 1770877227 | Providence Health & Services - Wa | General Practice | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1749 | 2011-06-01 |
| 1639468259 | Providence Health & Services - Wa | Orthopaedic Surgery | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2011-04-05 |
| 1225335425 | Providence Health & Services - Wa | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2011-02-24 |
| 1649402231 | Providence Health & Services - Wa | Social Worker | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2009-08-14 |
| 1861622557 | Providence Health & Services - Wa | Social Worker | 12800 Bothell Everett Hwy, Suite 110, Everett, WA 98208-6642 | 2009-07-16 |
| 1265669451 | Providence Health & Services - Wa | Clinic/Center | 101 W 8th Ave, Women's Health Center, Spokane, WA 99204-2307 | 2009-06-16 |
| 1669616363 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
500 E WEBSTER AVE |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285732602 | Providence Health Care | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-09-20 |
| 1902058399 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1700038197 | Providence Health & Services - Wa | Skilled Nursing Facility | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1750532321 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-01 |
| 1336316314 | Providence Physician Services Co | Internal Medicine | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-05-09 |
| 1013181643 | Phyllis Belzer | Dietitian, Registered | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-04-15 |
| 1134317803 | Nellie Lucille Boone | Physician Assistant | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-10-09 |
| 1588855548 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1710192968 | Christine Mcglinchy Hayman | Pharmacist | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174697353 | Tri-state Memorial Hospital | Medicare Defined Swing Bed Unit | 1221 Highland Avenue, Clarkston, WA 99403 | 2006-11-20 |
| 1033139431 | Kittitas County Public Hospital Dist 1 | Medicare Defined Swing Bed Unit | 603 S. Chestnut St., Ellensburg, WA 98926 | 2006-07-20 |
| 1225033814 | Sunnyside Community Hospital Association | Medicare Defined Swing Bed Unit | 1016 Tacoma Ave, Sunnyside, WA 98944 | 2005-06-20 |
| 1639778202 | Public Hospital District No 1 of Mason County | Medicare Defined Swing Bed Unit | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2020-10-23 |
| 1568899698 | Peacehealth United General Medical Center | Medicare Defined Swing Bed Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-10-03 |
| 1134371628 | Providence Health & Services - Washington | Medicare Defined Swing Bed Unit | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
| 1417105107 | Enumclaw Regional Hospital Association | Medicare Defined Swing Bed Unit | 1455 Battersby Ave, Enumclaw, WA 98022-3634 | 2008-09-05 |
| 1750554366 | Grays Harbor County Public Hospital District No 1 | Medicare Defined Swing Bed Unit | 600 E. Main Street, Elma, WA 98541 | 2008-04-04 |
| 1902074776 | Public Hospital District 3 of Pacific County | Medicare Defined Swing Bed Unit | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2008-02-14 |
| 1194929471 | Public Hospital District No 4 King County Wa | Medicare Defined Swing Bed Unit | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - WA.
| 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.