PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY (NPI# 1770614273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770614273 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 1 OF SNOHOMISH COUNTY |
| Other Organization Name | EVERGREENHEALTH MONROE RECOVERY CENTER |
| Practice Address |
17880 147th Avenue Se Monroe WA 98272-1014 |
| Mailing Address |
14701 179th Ave Se Monroe WA 98272-1108 |
| Practice Telephone | 3607941447 |
| Practice Fax Number | 3607941493 |
| Mailing Telephone | 3607941447 |
| Mailing Fax Number | 3607941486 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | LISA LAPLANTE (CHIEF QUALITY OFFICER) |
| Authorized Official Telephone | 3607947497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | H104 | WA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7034564 | 05 |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Monroe Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245497577 | Public Hospital District No 1 of Snohomish County | Clinical Medical Laboratory | 615 W Stevens Ave Hwy 2, Sky Valley Family Medicine, Sultan, WA 98294-9458 | 2008-05-22 |
| Street Address |
17880 147TH AVENUE SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623315 | New Hope Addiction Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 215 Northpark Dr, Monroe, LA 71203-6520 | 2020-03-05 |
| 1134638174 | Aimwell Center LLC | Rehabilitation, Substance Use Disorder Unit | 1106 Stubbs Ave Ste B, Monroe, LA 71201 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073744850 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 | 2009-07-28 |
| 1770714693 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 | 2009-07-28 |
| 1043374119 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 508 Quarter Eighth Street, Hoquiam, WA 98550 | 2006-12-21 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1881758472 | Providence Heath & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 24070 Ne Highway 3, Belfair, WA 98528 | 2006-12-20 |
| 1346238482 | Changepoint, Inc. | Rehabilitation, Substance Use Disorder Unit | 10621 Ne Coxley Dr, Suite 106, Vancouver, WA 98662-6122 | 2005-10-12 |
| 1265076293 | Annika Shunta Howard | Rehabilitation, Substance Use Disorder Unit | 1701 18th Ave S, Seattle, WA 98144-4317 | 2019-11-02 |
| 1407343593 | Tranquility Partners, LLC | Rehabilitation, Substance Use Disorder Unit | 800 Washington Ave N, Long Beach, WA 98631-3806 | 2018-04-16 |
| 1871899336 | Highline Medical Center Cd Unit | Rehabilitation, Substance Use Disorder Unit | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2011-02-01 |
| 1043441967 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 24070 Ne State Route 3, Suite A, Belfair, WA 98528-9665 | 2009-07-28 |
| 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.