PEACEHEALTH UNITED GENERAL MEDICAL CENTER (NPI# 1568899698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568899698 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH UNITED GENERAL MEDICAL CENTER |
| Practice Address |
2000 Hospital Dr Sedro Woolley WA 98284-4327 |
| Mailing Address |
Po Box 748636 Los Angeles CA 90074-8636 |
| Practice Telephone | 3608566021 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | LORI KETTLER (ENROLLMENT LEAD) |
| Authorized Official Telephone | 3607291411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | HAC.FS.60417818 | WA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2005537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995714 | Peacehealth United General Medical Center | Rehabilitation Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2018-03-16 |
| 1548698806 | Peacehealth United General Medical Center | Internal Medicine | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-10-24 |
| 1144664954 | Peacehealth United General Medical Center | General Acute Care Hospital | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEACEHEALTH UNITED GENERAL MEDICAL CENTER | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 |
| Washington State Corporations | PEACEHEALTH UNITED GENERAL MEDICAL CENTER FOUNDATION | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683-8002 |
| Street Address |
2000 HOSPITAL DR |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160737 | Meghan Anne Wagner | Registered Nurse | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2020-09-29 |
| 1922649854 | Danica Michelle Hardwick | Dietitian, Registered | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2019-10-02 |
| 1750942538 | Knd Development 59, LLC | Hospitalist | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2019-06-24 |
| 1629532064 | Sound Physicians Emergency Medicine of Washington Pllc | Emergency Medicine | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2019-01-30 |
| 1104318583 | Jamie Danell | Physician Assistant | 2000 Hospital Dr, Sedro Woolley, WA 98284 | 2018-06-01 |
| 1861995714 | Peacehealth United General Medical Center | Rehabilitation Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2018-03-16 |
| 1306217351 | Uniform Emergency Physicians, Pllc | Emergency Medicine | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2015-10-16 |
| 1548698806 | Peacehealth United General Medical Center | Internal Medicine | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-10-24 |
| 1144664954 | Peacehealth United General Medical Center | General Acute Care Hospital | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-04-23 |
| 1831441773 | Aruem Kandy Bierman | Pharmacist | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| 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 |
| 1134371628 | Providence Health & Services - Washington | Medicare Defined Swing Bed Unit | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
| 1447402839 | Providence Health & Services - Wa | Medicare Defined Swing Bed Unit | 500 E Webster Ave, Chewelah, WA 99109-9523 | 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 | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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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.