PROVIDENCE HEALTH & SERVICES - WASHINGTON


Address: 506 W Franklin St, Shelton, WA 98584-3517
Phone: 3604328692

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1073677605) 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) 1073677605
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER
Practice Address 506 W Franklin St
Shelton
WA 98584-3517
Mailing Address 909 N Broadway
Pbo/credentialing
Everett
WA 98201-1409
Practice Telephone 3604328692
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 1993062 05

Other Provider/Organization Names

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407162571 Providence Health & Services - Washington Internal Medicine 510 E Amende Drive, Odessa, WA 99159-0000 2010-08-26
1841503034 Providence Health & Services - Washington Family Medicine 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 2010-07-16
1083947709 Providence Health & Services - Washington Hospice Care, Community Based 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 2009-09-14
1760636690 Providence Health & Services - Washington Neurological Surgery 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 2008-11-05
1558512368 Providence Health & Services - Washington Home Health 209 W Poplar St, Walla Walla, WA 99362 2008-10-10
1922259738 Providence Health & Services - Washington Internal Medicine 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 2008-10-10
1306097126 Providence Health & Services - Washington Radiology 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 2008-10-10
1043374119 Providence Health & Services - Washington Rehabilitation, Substance Use Disorder Unit 508 Quarter Eighth Street, Hoquiam, WA 98550 2006-12-21
1003906918 Providence Health & Services - Washington Home Health 3432 Bay Rd Ne, Olympia, WA 98506-2958 2006-10-13
1376638171 Providence Health & Services - Washington Skilled Nursing Facility 4900 Eagle St, Anchorage, AK 99503-7446 2006-10-04

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Providence Health & Services - Washington 1801 Lind Ave. Sw, #9016, Renton, WA 98057

Office Location

Street Address 506 W FRANKLIN ST
City SHELTON
State WA
Zip Code 98584-3517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245846252 Judalyn Evette Gill Counselor 506 W Franklin St, Shelton, WA 98584-3517 2020-09-16
1891340758 William C Aikman Counselor 506 W Franklin St, Shelton, WA 98584-3517 2019-08-07
1821658766 Julie Ann Brown Counselor 506 W Franklin St, Shelton, WA 98584-3517 2019-06-13
1619438793 Janice M Dickinson Case Manager/Care Coordinator 506 W Franklin St, Shelton, WA 98584-3517 2019-03-29
1477014561 Machel M Ledford Counselor 506 W Franklin St, Shelton, WA 98584-3517 2019-03-29
1083825764 New Directions Counseling, LLC Community/Behavioral Health 506 W Franklin St, Shelton, WA 98584-3518 2007-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023627478 Ashley Maria Elena Armstrong Counselor 307 W Cota St Shelton, Shelton, WA 98584 2020-07-30
1962011015 Perry Philemon Little IIi Dentist 503 N 4th St, Shelton, WA 98584 2020-07-24
1588215271 Rebecca Lynn Adams Counselor 601 West Franklin St, Shelton, WA 98584 2019-09-24
1366939670 Robbie Chandler Social Worker 807 West Pine, Shelton, WA 98584 2018-04-23
1831603075 Fir Lane Health-shelton,llc Skilled Nursing Facility 2430 North 13th St, Shelton, WA 98584 2017-11-27
1306361738 Christine Lee Woods Counselor 58150 E. 66th Road, Miami, OK 98584 2017-08-07
1174063051 Claudette V. Selkridge Counselor 1620 N. Olympic Hwy, Shelton, WA 98584 2017-02-27
1003278755 Edward Charles Herman Social Worker 50 Se Bluff Loop Rd., Shelton, WA 98584 2016-03-22
1023497310 Darren Cuevas Family Medicine 939 Mountain View Dr Ste 100, Shelton, WA 98584 2015-05-20
1639572977 Thomas Vincent Phung Duffy Dentist 717 W. Railroad Ave., Shelton, WA 98584 2014-10-01
Find all providers in zip 98584

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
1073744850 Providence Health & Services Washington Rehabilitation, Substance Use Disorder Unit 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 2009-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1881758472 Providence Heath & Services - Washington Rehabilitation, Substance Use Disorder Unit 24070 Ne Highway 3, Belfair, WA 98528 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
1043441967 Providence Health & Services Washington Rehabilitation, Substance Use Disorder Unit 24070 Ne State Route 3, Suite A, Belfair, WA 98528-9665 2009-07-28
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

Search similar providers

City SHELTON
Zip Code 98584

Improve Information

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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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