PROVIDENCE HEATH & SERVICES - WASHINGTON (NPI# 1881758472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881758472 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEATH & SERVICES - WASHINGTON |
Other Organization Name | PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER |
Practice Address |
24070 Ne Highway 3 Belfair WA 98528 |
Mailing Address |
909 N Broadway Pbo/credentialing Everett WA 98201-1409 |
Practice Telephone | 3602770523 |
Mailing Telephone | 4253170246 |
Mailing Fax Number | 4253170291 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-09-21 |
Authorized Official Name | KATHLEEN NURMI (DIR REVENUE CYCLE MGMT SWSA) |
Authorized Official Telephone | 3604934081 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1993070 | 05 |
Other Name | Type Code |
---|---|
Providence St. Peter Chemical Dependency Center | Doing Business As Name - Organization |
Street Address |
24070 NE HIGHWAY 3 |
City | BELFAIR |
State | WA |
Zip Code | 98528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316589419 | Jody Fletcher | Speech-Language Pathologist | 22900 Ne Hwy 3, Belfair, WA 98528 | 2019-10-10 |
1811538465 | Nikia Lee Frohlich | Speech-Language Pathologist | Mary E Theler Center Nmsd Preschool, 22871 Wa-3, Belfair, WA 98528 | 2019-10-04 |
1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
1669817623 | Lillian Michelle White | Nurse Practitioner | 31 Ne State Route 300 Ste 200, Belfair, WA 98528 | 2013-05-05 |
1144589300 | Novelita Duyan Feldman | Massage Therapist | 24160 Northeast Sr-3, Belfair, WA 98528 | 2012-05-09 |
1700178373 | Patrick Bates | Massage Therapist | 24160 Ne Sr-3, Belfair, WA 98528 | 2011-05-13 |
1720285059 | Mc Kinney Whitemarsh Pllc | Optometrist | 23160 St Hwy 3, Belfair, WA 98528 | 2007-06-29 |
1427260389 | Public Hospital District No.1 of Mason County Washington | Clinic/Center | 140 Ne State Rte 300, Belfair, WA 98528 | 2007-05-04 |
1649313156 | Christy Rice | Massage Therapist | 151 Ne State Rt 300, Belfair, WA 98528 | 2007-02-14 |
1669510970 | Donald R Lepere Dds Ps | Dentist | 22921 Ne State Route, 3, Belfair, WA 98528 | 2007-02-01 |
Find all providers in zip 98528 |
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 |
---|---|---|---|---|
1043441967 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 24070 Ne State Route 3, Suite A, Belfair, WA 98528-9665 | 2009-07-28 |
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 |
1770614273 | Public Hospital District No 1 of Snohomish County | Rehabilitation, Substance Use Disorder Unit | 17880 147th Avenue Se, Monroe, WA 98272-1014 | 2007-03-08 |
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 |
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 |
1689805509 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 4800 College St Se, Lacey, WA 98503-4389 | 2009-07-28 |
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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.