PROVIDENCE HEALTH & SERVICES WA (NPI# 1811226038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811226038 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WA |
| Other Organization Name | PRMCE URGENT CARE CENTER AT MILL CREEK COMMONS |
| Practice Address |
16708 Bothell Everett Highway Suite 102 Mill Creek WA 98012-6329 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4254829090 |
| Practice Fax Number | 4254829091 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | MARCY NICOL (RCM DIRECTOR NWR PHYSICIAN DIVISION) |
| Authorized Official Telephone | 4253170284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRMCE Urgent Care Center at Mill Creek Commons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861623548 | Providence Health & Services Wa | Internal Medicine | 1217 Cooper Point Rd Sw, Suite B, Olympia, WA 98502-7206 | 2009-07-29 |
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1326585779 | Providence Health & Services Wa | Case Management | 44 W 6th Ave, Suite 218, Spokane, WA 99204-2306 | 2017-01-24 |
| 1033558457 | Providence Health & Services Wa | Pharmacy | 401 W Poplar St, Pharmacy, Walla Walla, WA 99362-2846 | 2013-06-19 |
| 1609105832 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 201, Mill Creek, WA 98012-6329 | 2009-12-17 |
| Street Address |
16708 BOTHELL EVERETT HIGHWAY SUITE 102 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609105832 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 201, Mill Creek, WA 98012-6329 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747411 | Thuthi Enterprises, LLC | Clinic/Center | 715 N Park Ctr # B, Selah, WA 98942-1174 | 2020-07-14 |
| 1215567300 | Kittitas Valley Urgent Care Pllc | Clinic/Center | 17 E Valley Mall Blvd Ste 2b, Union Gap, WA 98903-1652 | 2020-01-17 |
| 1992288674 | American Current Care of Washington, P.s. | Clinic/Center | 6720 Fort Dent Way Ste 110, Tukwila, WA 98188-2580 | 2018-09-10 |
| 1548743347 | American Current Care of Washington, P.s. | Clinic/Center | 3101 111th St Sw Unit Tu, Everett, WA 98204-3590 | 2018-09-08 |
| 1881177681 | American Current Care of Washington, P.s. | Clinic/Center | 9222 N Newport Hwy Ste 1, Spokane, WA 99218-1235 | 2018-09-08 |
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1578926770 | Kittitas Valley Urgent Care Pllc | Clinic/Center | 5371 Number 6 Rd, Ellensburg, WA 98926-8782 | 2016-04-04 |
| 1548620693 | Highlands Urgent Care Pllc | Clinic/Center | 4500 Ne Sunset Blvd Ste D, Renton, WA 98059-4054 | 2016-03-02 |
| 1912305905 | Sunnyside Community Hospital Association | Clinic/Center | 355 Chardonnay Ave, Prosser, WA 99350-9521 | 2014-12-08 |
| 1316340516 | Aliance Community Health Service Network | Clinic/Center | 16005 Intl Blvd, A, Seatac, WA 98188-2651 | 2014-10-01 |
| Find all providers with the same taxonomy | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES WA.
| 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.