PROVIDENCE HEALTH & SERVICES WA (NPI# 1609105832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609105832 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WA |
| Other Organization Name | PRMCE MILL CREEK COMMONS RADIOLOGY |
| Practice Address |
16708 Bothell Everett Highway Suite 201 Mill Creek WA 98012-6329 |
| Mailing Address |
909 N Broadway Pbo Everett WA 98201-1409 |
| Practice Telephone | 4254829240 |
| Practice Fax Number | 4254829243 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | SHERI FEENEY (CFO NWR) |
| Authorized Official Telephone | 4252614044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRMCE Mill Creek Commons Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811226038 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 102, Mill Creek, WA 98012-6329 | 2009-12-17 |
| 1861623548 | Providence Health & Services Wa | Internal Medicine | 1217 Cooper Point Rd Sw, Suite B, Olympia, WA 98502-7206 | 2009-07-29 |
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1326585779 | Providence Health & Services Wa | Case Management | 44 W 6th Ave, Suite 218, Spokane, WA 99204-2306 | 2017-01-24 |
| 1033558457 | Providence Health & Services Wa | Pharmacy | 401 W Poplar St, Pharmacy, Walla Walla, WA 99362-2846 | 2013-06-19 |
| Street Address |
16708 BOTHELL EVERETT HIGHWAY SUITE 201 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811226038 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 102, Mill Creek, WA 98012-6329 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431752 | Bows-r-bowties | Clinic/Center | 646 Strander Blvd, Tukwila, WA 98188-2923 | 2016-12-12 |
| 1861775249 | 3d Imaging and Diagnosis LLC | Clinic/Center | 5340 Corporate Center Loop Se Ste A, Lacey, WA 98503-5590 | 2011-09-22 |
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 1285850461 | Brain Matters Imaging Centers | Clinic/Center | 1015 8th Ave North, Seattle, WA 98109-3504 | 2007-04-17 |
| 1790822070 | Advanced Open Imaging LLC | Clinic/Center | 19401 40th Ave West, Suite 140, Lynnwood, WA 98036 | 2007-01-30 |
| 1184790032 | Tra-minw, Ps | Clinic/Center | 34515 9th Ave. South, Federal Way, WA 98003 | 2006-11-24 |
| 1356416705 | Peninsula Medical Imaging, Pllc | Clinic/Center | 675 N. Fifth Ave, Suite 2b, Sequim, WA 98382-3201 | 2006-11-21 |
| 1396814166 | Tra-minw, Ps | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 1588775662 | Lynden Medical X-ray LLC | Clinic/Center | 9310 Hammer Rd, Lynden, WA 98264-9530 | 2006-08-31 |
| 1093750614 | Valley Imaging | Clinic/Center | 314 S 11th Ave, Ste B, Yakima, WA 98902-3214 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
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.