PROVIDENCE (NPI# 1821248402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821248402 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE |
| Practice Address |
5019 126th St Ne Marysville WA 98271-9062 |
| Mailing Address |
5019 126th St. Ne Marysville WA 98271 |
| Practice Telephone | 3603868061 |
| Mailing Telephone | 3603868061 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | MRS. KRISTAL CORRINE MARSON (OTR/L) |
| Authorized Official Telephone | 3603868061 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | OT00004622 | WA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567991 | Providence | Non-emergency Medical Transport (VAN) | 17 Daisy Ln, Foxworth, MS 39483-4868 | 2018-11-19 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1417209628 | Providence | General Acute Care Hospital | 101 W 8th Avenue, Providence Hospital, Spokane, WA 99204-2307 | 2012-10-11 |
| 1124246244 | Providence | Case Management | 43545 Kirkland Ave, Apt.36, Lancaster, CA 93535-4668 | 2007-04-23 |
| 1801918982 | Providence | General Acute Care Hospital | 662 Purdy St, Unit 214, Birmingham, MI 48009-1731 | 2007-04-06 |
| 1316473564 | Providence | General Acute Care Hospital | 9427 Sw Barnes Rd, Sutie 295, Portland, OR 97225 | 2017-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence & Co. LLC | 418 Hickory St., Broomfield, CO 80020 |
| New York State Corporations | PROVIDENCE & SONS GENERAL CONSTRUCTION INC | 465 Bristol Street, Brooklyn, Ny 11212 |
| North Carolina Corporations | Providence 1 Fitness Inc. | 879 S Marye Dr, Graham, NC 27253 |
| Washington State Corporations | PROVIDENCE 107, LLC | 6801 Ripley Ln N, Renton, WA 98056 |
| Washington State Corporations | PROVIDENCE 1402 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 1705 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 2, LLC | 2223 Aqua Vista Ct, Gig Harbor, WA 98335-1531 |
| Colorado Business Entities | Providence 207, LLC | 999 South Logan Street, Suite 200, Denver, CO 80209 |
| Washington State Corporations | PROVIDENCE 4825 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Colorado Business Entities | Providence 600 East Broadway LLC | 4833 Front Street, Ste 410, Castle Rock, CO 80104 |
| Street Address |
5019 126TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-9062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720159338 | Memorial Hospital of Union County | General Acute Care Hospital | 500 London Ave, Marysville, OH 43040-5512 | 2006-11-13 |
| 1720088354 | Rideout Memorial Hospital | General Acute Care Hospital | 726 4th St, Marysville, CA 95901-5656 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373604 | University of Washington Medicine | General Acute Care Hospital | 525 N Bowdoin Pl, Apt 101, Seattle, WA 98103 | 2016-09-01 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
| 1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
| 1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
| 1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
| 1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
Please comment or provide details below to improve the information on PROVIDENCE.
| 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.