PROVIDENCE HEALTH & SERVICES


Address: 629 Jasmine St, Omak, WA 98841
Phone: 5098261600

PROVIDENCE HEALTH & SERVICES (NPI# 1720391659) 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) 1720391659
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES
Other Organization Name PROVIDENCE SPOKANE HEART INSTITUTE-OMAK MID VALLEY
Practice Address 629 Jasmine St
Omak
WA 98841
Mailing Address Po Box 3776
Seattle
WA 98124-3776
Practice Telephone 5098261600
Practice Fax Number 5098263633
Mailing Telephone 4255256798
Enumeration Date 2010-07-20
Last Update Date 2010-11-08
Authorized Official Name KAREN DUNCAN (SR. DIRECTOR OF REVENUE CYCLE MGT.)
Authorized Official Telephone 4252545362
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Providence Spokane Heart Institute-Omak Mid Valley Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609322528 Providence Health & Services In Home Supportive Care 110 S. Third Street E., Chewelah, WA 99109 2016-08-31
1811201312 Providence Health & Services Internal Medicine 715 S Washington, Suite A, Moscow, ID 83843-0000 2010-07-27
1114230042 Providence Health & Services Internal Medicine 318 E Rowan Ave, 240, Spokane, WA 99207-1200 2010-07-20
1154539203 Providence Health & Services Internal Medicine 1510 Division St Ste 200, Oregon City, OR 97045-1599 2007-05-21
1780742114 Providence Health & Services Internal Medicine 1515 Portland Rd, Newberg, OR 97132-1844 2006-12-05
1831639731 Providence Health & Services Home Health Aide 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 2017-02-27
1093056632 Providence Health & Services General Acute Care Hospital 6801 Coldwater Canyon Ave, Suite 1a, North Hollywood, CA 91605-5162 2013-03-06
1689977159 Providence Health & Services Thoracic Surgery (Cardiothoracic Vascular Surgery) 700 W Ironwood Dr, Suite 350, Coeur D Alene, ID 83814-2656 2010-12-06
1245544584 Providence Health & Services Internal Medicine 1550 S Pioneer Way, Pioneer Medical Center #250, Moses Lake, WA 98837-4613 2010-07-28
1457665945 Providence Health & Services Internal Medicine 701 Lewiston Street, Cottonwood, ID 83522-0000 2010-07-27

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES 1801 Lind Ave Sw #9016, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES 1801 Lind Ave Sw #9016, Renton, WA 98057
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES - MONTANA 1801 Lind Ave Sw, Renton, WA 98057
Colorado Business Entities Providence Health & Services - Montana Dept of Legal Affairs, 1801 Lind Ave. Sw, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES - MONTANA 1801 Lind Ave Sw, Renton, WA 98057-3368
Colorado Business Entities Providence Health & Services - Oregon 1801 Lind Avenue, Sw, Renton, WA 98057-9016
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave Sw #9016, Renton, WA 98057
System for Award Management (SAM) Entities PROVIDENCE HEALTH & SERVICES - OREGON 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545
Iowa Business Entities PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave. Sw, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave Sw # 9016, Renton, WA 98057

Office Location

Street Address 629 JASMINE ST
City OMAK
State WA
Zip Code 98841

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093210908 Kellie Davies Registered Nurse 34 Valley View Dr, Omak, WA 98841 2018-03-24
1356860399 In-home Care of Central Washington In Home Supportive Care 130 N. Main St, Ste 2, Omak, WA 98841 2017-09-11
1538615158 J.r. Craig Webster D.d.s. Preferred Provider Organization 204 West 1st. Street, Omak, WA 98841 2016-09-01
1346638855 Katie Mae Sommers Counselor 1007 Koala Dr, Omak, WA 98841 2015-01-06
1659702157 Omak Audiology Center, LLC Audiologist-Hearing Aid Fitter 506 Riverside Drive, # B, Omak, WA 98841 2013-12-09
1265878417 Stephen Cavender Counselor 1007 Koala Dr., Omak, WA 98841 2013-05-15
1467793497 Kenari Breshem Massage Therapist 25 Ash St, Omak, WA 98841 2013-03-15
1710282645 Jodie Dawn Field Counselor 17 N. Ash, Omak, WA 98841 2011-01-25
1871826453 Stephanie Dawn Swezey Specialist 670 Riverside Drive, Omak, WA 98841 2009-09-14
1407090996 Prabath Priyantha Malluwa Wadu Pharmacist 617 5th and Benton, Po Box C, Omak, WA 98841 2009-04-28
Find all providers in zip 98841

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255844163 Shc Medical Center - Yakima Internal Medicine 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 2017-11-14
1295113108 Sophia Larson Internal Medicine 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 2015-05-12
1780002485 Kavisha Singh Internal Medicine 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 2014-04-01
1740522127 Takor Besong Arrey-mbi Internal Medicine Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 2013-03-22
1023357845 Samuel Everett George Internal Medicine 19005 Se 34th St Bldg 3, Vancouver, WA 98683 2013-02-14
1386997740 Fredric Tobis Internal Medicine 7411 Se 36th St, Mercer Island, WA 98040-3412 2012-10-23
1063716595 Jeffrey David Feldstein Internal Medicine 5415 Ne 52nd St, Vancouver, WA 98661-7838 2010-12-23
1407162571 Providence Health & Services - Washington Internal Medicine 510 E Amende Drive, Odessa, WA 99159-0000 2010-08-26
1881907715 Providence Health & Services Washington Internal Medicine 62 W 7th Ave, Spokane, WA 99204-2321 2010-07-20
1114230042 Providence Health & Services Internal Medicine 318 E Rowan Ave, 240, Spokane, WA 99207-1200 2010-07-20
Find all providers with the same taxonomy

Competitor

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City OMAK
Zip Code 98841

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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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