SAINT CLARE HOSPITAL (NPI# 1871724690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871724690 |
Entity Type | Organization |
Organization Name | SAINT CLARE HOSPITAL |
Other Organization Name | ST CLARE PROFESSIONAL PSYCHIATRIC SERVICES |
Practice Address |
11315 Bridgeport Way Sw Lakewood WA 98499 |
Mailing Address |
11315 Bridgeport Way Sw Lakewood WA 98499-3004 |
Practice Telephone | 2534266691 |
Practice Fax Number | 2534266492 |
Mailing Telephone | 2534266691 |
Mailing Fax Number | 2534266492 |
Enumeration Date | 2009-07-28 |
Last Update Date | 2018-08-23 |
Authorized Official Name | MIKE FITZGERALD (CFO) |
Authorized Official Telephone | 2536804005 |
Is Organization Subpart | Y |
Parent Organization Name | FRANCISCAN HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
St Clare Professional Psychiatric Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003029745 | Saint Clare Hospital | Clinical Medical Laboratory | 11315 Bridgeport Way Se, Lakewood, WA 98499-3004 | 2007-05-08 |
1689672693 | Saint Clare Hospital | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2005-07-13 |
Street Address |
11315 BRIDGEPORT WAY SW |
City | LAKEWOOD |
State | WA |
Zip Code | 98499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689672693 | Saint Clare Hospital | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2005-07-13 |
1821644436 | Christopher Ruzyla | Registered Nurse | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-08-11 |
1497212104 | Laurie E Hamilton | Social Worker | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-02-28 |
1205392339 | Mayling Betania Barrera | Student in an Organized Health Care Education/Training Program | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-02-13 |
1437681343 | Connor Houghton | Emergency Medicine | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2017-03-30 |
1659749208 | Lauren Fuglevand | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2015-09-11 |
1003208612 | Alexandra Cornwall | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2015-02-19 |
1962806133 | Justin Yee | Pharmacist | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2014-10-17 |
1962804351 | Jonathon Franz | Physician Assistant | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2014-09-17 |
1407263817 | Franciscan Health System | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2014-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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1609210509 | Csm Counseling LLC | Psychiatric Unit | 9255 W Alameda Ave, Unit E, Lakewood, CO 80226-2802 | 2013-04-22 |
1902831621 | Lakewood Regional Medical Center, Inc. | Psychiatric Unit | 3700 South St, Lakewood, CA 90712-1419 | 2006-07-11 |
1437192507 | Lakewood Hospital Association | Psychiatric Unit | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-06-14 |
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1053626465 | Swedish Edmonds | Psychiatric Unit | 21601 76th Ave W., Edmonds, WA 98026-2100 | 2010-08-10 |
1316043961 | Roberta Theresa Nugent | Psychiatric Unit | American Lake Va Hospital, Tacoma, WA 98493-0001 | 2006-09-14 |
1497757207 | County of Pierce | Psychiatric Unit | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2005-08-11 |
1841741311 | Multicare Health System | Psychiatric Unit | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2016-10-20 |
1336699388 | Swedish Health Services | Psychiatric Unit | 747 Broadway, Seattle, WA 98122-4379 | 2016-10-13 |
1902355654 | Swedish Health Services | Psychiatric Unit | 5300 Tallman Ave Nw, Floor 4 North, Seattle, WA 98107-3932 | 2016-09-22 |
1457588386 | Public Hospital Dist No 1 Skagit | Psychiatric Unit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2009-06-18 |
1639320484 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-10-09 |
1144471715 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204 | 2008-10-01 |
1174791917 | Yakima Hma LLC | Psychiatric Unit | 502 W 4th Ave, Toppenish, WA 98948-1616 | 2008-02-14 |
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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.