SACRED HEART MEDICAL CENTER (NPI# 1528163763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528163763 |
| Entity Type | Organization |
| Organization Name | SACRED HEART MEDICAL CENTER |
| Practice Address |
101 W 8th Ave Spokane WA 99204-2307 |
| Mailing Address |
Po Box 2555 Spokane WA 99220-2555 |
| Practice Telephone | 5094743203 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RYLAND P DAVIS (CEO) |
| Authorized Official Telephone | 5094743040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H-162 | WA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3500022 | 05 | |
| ID | REG BLSH OF ID | G00611 | 01 |
| WA | ASURIS INPT | SA1389 | 01 |
| ID | SPHCO BCI | K0289 | 01 |
| WA | ASURIS OUTP | SA1390 | 01 |
| WA | L&I | 02986 | 01 |
| WA | BC/BS/PREMERA | 15 | 01 |
| WA | GROUP HEALTH | 20 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819319 | Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2005-05-31 |
| 1821206244 | Sacred Heart Medical Center | Clinical Medical Laboratory | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-05-18 |
| 1326147224 | Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2006-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SACRED HEART MEDICAL CENTER | 3333 Riverbend Dr, Springfield, OR 97477 |
| Oregon Corporations, Companies and Business Names | SACRED HEART MEDICAL CENTER - UNIVERSITY DISTRICT | 1255 Hilyard St, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | SACRED HEART MEDICAL CENTER AT RIVERBEND | 3333 Riverbend Dr, Springfield, OR 97477 |
| System for Award Management (SAM) Entities | SACRED HEART MEDICAL CENTER FOUNDATION | 123 International Way, Springfield, OR 97477-1047 |
| Oregon Corporations, Companies and Business Names | SACRED HEART MEDICAL CENTER HEARTFELT HOUSE | 3333 Riverbend Drive, Springfield, OR 97477 |
| System for Award Management (SAM) Entities | SACRED HEART MEDICAL CENTER UNIV DISTRICT | 1255 Hilyard St, Eugene, OR 97401-3718 |
| Street Address |
101 W 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819319 | Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2005-05-31 |
| 1124626841 | Melissa Ann Benson | Respiratory Therapist, Registered | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-10-14 |
| 1184236671 | Margaret Ann Warren | Physical Therapist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-18 |
| 1265044747 | Melyssa Carlson | Registered Nurse | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-17 |
| 1760091276 | Corle Morefield | Pharmacist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-07-30 |
| 1174143663 | Ashley Kay Gardiner | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-24 |
| 1265061485 | Mary Katherine Griessmann | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-08 |
| 1558990994 | Ingrid Mary Agnew | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-07 |
| 1952930562 | Cody Key | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-06 |
| 1417586173 | Samuel Logan | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639320484 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-10-09 |
| 1144471715 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053626465 | Swedish Edmonds | Psychiatric Unit | 21601 76th Ave W., Edmonds, WA 98026-2100 | 2010-08-10 |
| 1316043961 | Roberta Theresa Nugent | Psychiatric Unit | American Lake Va Hospital, Tacoma, WA 98493-0001 | 2006-09-14 |
| 1497757207 | County of Pierce | Psychiatric Unit | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2005-08-11 |
| 1841741311 | Multicare Health System | Psychiatric Unit | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2016-10-20 |
| 1336699388 | Swedish Health Services | Psychiatric Unit | 747 Broadway, Seattle, WA 98122-4379 | 2016-10-13 |
| 1902355654 | Swedish Health Services | Psychiatric Unit | 5300 Tallman Ave Nw, Floor 4 North, Seattle, WA 98107-3932 | 2016-09-22 |
| 1871724690 | Saint Clare Hospital | Psychiatric Unit | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2009-07-28 |
| 1457588386 | Public Hospital Dist No 1 Skagit | Psychiatric Unit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2009-06-18 |
| 1174791917 | Yakima Hma LLC | Psychiatric Unit | 502 W 4th Ave, Toppenish, WA 98948-1616 | 2008-02-14 |
| 1497978100 | Franciscan Health System | Psychiatric Unit | 1717 S J St, Tacoma, WA 98405-4933 | 2007-04-11 |
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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.