PROVIDENCE HEATH & SERVICES - WASHINGTON


Address: 24070 Ne Highway 3, Belfair, WA 98528
Phone: 3602770523

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 276400000X Rehabilitation, Substance Use Disorder Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
WA 1993070 05

Other Provider/Organization Names

Other Name Type Code
Providence St. Peter Chemical Dependency Center Doing Business As Name - Organization

Office Location

Street Address 24070 NE HIGHWAY 3
City BELFAIR
State WA
Zip Code 98528

Providers in the same zip code

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 Information

Taxonomy Code 276400000X
Grouping Hospital Units
Classification Rehabilitation, Substance Use Disorder Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City BELFAIR
Zip Code 98528

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Dataset Information

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.

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