PROVIDENCE HEALTH & SERVICES - WA


Address: 101 W 8th Ave, Spokane, WA 99204-2307
Phone: 5094743131

PROVIDENCE HEALTH & SERVICES - WA (NPI# 1639320484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639320484
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES - WA
Other Organization Name PROV SCRED HRT MED CTR & CHLDS HOS
Practice Address 101 W 8th Ave
Spokane
WA 99204-2307
Mailing Address Po Box 2555
Spokane
WA 99220-2555
Practice Telephone 5094743131
Mailing Telephone 5094743131
Enumeration Date 2008-10-09
Last Update Date 2020-08-04
Authorized Official Name MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
WA 3500022 05

Other Provider/Organization Names

Other Name Type Code
Prov Scred Hrt Med Ctr & Chlds Hos Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Providence Health & Services - Washington 1801 Lind Ave. Sw, #9016, Renton, WA 98057

Office Location

Street Address 101 W 8TH AVE
City SPOKANE
State WA
Zip Code 99204-2307

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144471715 Providence Health & Services - Wa Psychiatric Unit 101 W 8th Ave, Spokane, WA 99204 2008-10-01
1528163763 Sacred Heart Medical Center Psychiatric Unit 101 W 8th Ave, Spokane, WA 99204-2307 2006-09-13

Providers in the same taxonomy and state

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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Competitor

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City SPOKANE
Zip Code 99204

Improve Information

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Dataset Information

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.

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