GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (NPI# 1750554366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750554366 |
Entity Type | Organization |
Organization Name | GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
Other Organization Name | SUMMIT PACIFIC MEDICAL CENTER |
Practice Address |
600 E. Main Street Elma WA 98541 |
Practice Telephone | 3604953244 |
Practice Fax Number | 3604954274 |
Mailing Telephone | 3604953244 |
Mailing Fax Number | 3604954274 |
Enumeration Date | 2008-04-04 |
Last Update Date | 2013-01-24 |
Authorized Official Name | MS. RENEE K JENSEN (CEO) |
Authorized Official Telephone | 3604953244 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | H-186 | WA | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PREMERA | 135 | 01 |
WA | L&I ER DOC NUMBER | 18090 | 01 |
WA | 7257108 | 05 | |
WA | CRIME VICTIMS | 8903272 | 01 |
WA | 3147709 | 05 | |
WA | MOLINA H/O | QMXPR0048030 | 01 |
WA | L&I ER FACILITY | 18091 | 01 |
WA | MEDICARE PRO FEE | G000800088 | 01 |
WA | REGENCE BLUE SHEILD | GR6577 | 01 |
WA | RAILROAD MEDICARE | CD1667 | 01 |
Other Name | Type Code |
---|---|
Summit Pacific Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740211028 | Grays Harbor County Public Hospital District No 1 | General Acute Care Hospital | 600 E. Main Street, Elma, WA 98541 | 2006-07-05 |
Street Address |
600 E. MAIN STREET |
City | ELMA |
State | WA |
Zip Code | 98541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619930914 | Bonnie J. Mcreynolds | Nurse Practitioner | 600 E. Main Street, Elma, WA 98541 | 2006-04-08 |
1942554183 | Grays Harbor County Public Hospital District No. 1 | Family Medicine | 600 E. Main Street, Elma, WA 98541 | 2012-11-08 |
1730408964 | Benjamin E. Good | Emergency Medicine | 600 E. Main Street, Elma, WA 98541 | 2010-05-27 |
1366775652 | Mary Ellen Biggerstaff | Nurse Practitioner | 600 E. Main Street, Elma, WA 98541 | 2009-09-17 |
1467522896 | Grays Harbor Public Hospital District No 1 | Family Medicine | 600 E. Main Street, Elma, WA 98541 | 2006-11-09 |
1902821200 | Anita M. Remerowski | Internal Medicine | 600 E. Main Street, Elma, WA 98541 | 2006-07-13 |
1740211028 | Grays Harbor County Public Hospital District No 1 | General Acute Care Hospital | 600 E. Main Street, Elma, WA 98541 | 2006-07-05 |
1063440964 | Tammy H. Moore | Nurse Practitioner | 600 E. Main Street, Elma, WA 98541 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
Find all providers in zip 98541 |
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 |
1568899698 | Peacehealth United General Medical Center | Medicare Defined Swing Bed Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2013-10-03 |
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 |
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 |
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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.