PROVIDENCE HEALTH & SERVICES


Address: 2315 8th St Grade, Lewiston, ID 83501-7301
Phone: 2087461383

PROVIDENCE HEALTH & SERVICES (NPI# 1750694683) 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) 1750694683
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES
Other Organization Name PROVIDENCE SPOKANE HEART INSTITUTE-LEWISTON
Practice Address 2315 8th St Grade
Lewiston
ID 83501-7301
Mailing Address Po Box 3776
Seattle
WA 98124-3776
Practice Telephone 2087461383
Practice Fax Number 2082980727
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-Lewiston 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
1720391659 Providence Health & Services Internal Medicine 629 Jasmine St, Omak, WA 98841 2010-07-20
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

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 2315 8TH ST GRADE
City LEWISTON
State ID
Zip Code 83501-7301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467406975 Janet L Collar Nurse Practitioner 2315 8th St Grade, Lewiston, ID 83501-7301 2006-05-20
1003820275 Robert Alan Wales Internal Medicine 2315 8th St Grade, Lewiston, ID 83501-7301 2006-07-27
1508813106 Michael N Whisenant Internal Medicine 2315 8th St Grade, Lewiston, ID 83501-7301 2006-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
Find all providers in zip 83501

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 city

NPI Name Taxonomy Address Enumeration
1386885705 Lawrence D. Baker Internal Medicine 106 Campus Ave., Lewiston, ME 04240-6019 2009-03-14
1578699310 Anthony C Borgese Internal Medicine 5241 Paddock Ln, Lewiston, NY 14092-2034 2007-02-26
1700983137 Lee Walter Gould Internal Medicine 307 St. John's Way, Suite 114, Lewiston, ID 83501-2456 2006-09-20
1427003243 Imagin Nuclear Partners Incorporated Internal Medicine 631 Morgan Dr, Lewiston, NY 14092-1142 2006-05-23
1578558532 Richard S Shulman Internal Medicine 60 High St, Lewiston, ME 04240-7616 2005-09-15
1164414595 William Westel Rowe Internal Medicine 415 6th St, Lewiston, ID 83501-2434 2005-08-22
1295174514 Dafina Pruthi Internal Medicine 93 Campus Ave, Lewiston, ME 04240-6030 2013-06-19
1760767255 Maine Cardiology Associates Internal Medicine 198 Main St, Suite A, Lewiston, ME 04240-7640 2011-10-15
1093012726 Beata Anna Bajgierowicz Internal Medicine 60 High St, Lewiston, ME 04240-7616 2011-02-15
1487967253 Providence Health & Services Internal Medicine 307 St Johns Way, Lewiston, ID 83501-2435 2010-07-21
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 83501

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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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