PEACEHEALTH (NPI# 1083672273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083672273 |
Entity Type | Organization |
Organization Name | PEACEHEALTH |
Other Organization Name | ST JOSEPH MEDICAL CENTER |
Practice Address |
809 E Chestnut St Bellingham WA 98225-5221 |
Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
Practice Telephone | 3607156427 |
Practice Fax Number | 3607156431 |
Mailing Telephone | 3607291462 |
Mailing Fax Number | 3607293104 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-09-19 |
Authorized Official Name | MICHAEL CHARLES METCALF (CHIEF EXECUTIVE PHMG) |
Authorized Official Telephone | 3607291743 |
Is Organization Subpart | Y |
Parent Organization Name | ST JOSEPH HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2006940 | 05 | |
WA | MEDICARE PTAN | 50T030 | 01 |
Other Name | Type Code |
---|---|
St Joseph Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255977591 | Peacehealth | Durable Medical Equipment & Medical Supplies | 625 9th Ave Ste 120, Longview, WA 98632-2465 | 2019-11-21 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1669766457 | Peacehealth | General Acute Care Hospital | 787 Woodland Acres Ln, Eugene, OR 97402-9378 | 2011-06-09 |
1760427082 | Peacehealth | Home Health | 126 Washington St, Ketchikan, AK 99901-5930 | 2006-06-19 |
1912957986 | Peacehealth | Clinical Medical Laboratory | 123 International Way, Springfield, OR 97477-1047 | 2006-05-11 |
1447217559 | Peacehealth | Hospice, Inpatient | 2800 Douglas Avenue, Bellingham, WA 98225 | 2006-05-01 |
1215918719 | Peacehealth | Hospice Care, Community Based | 2230 Kingwood Street, Florence, OR 97439-9470 | 2005-11-10 |
1225019011 | Peacehealth | Home Health | 2230 Kingwood St, Florence, OR 97439-9464 | 2005-11-08 |
1346237971 | Peacehealth | General Acute Care Hospital | 1255 Hilyard St, Eugene, OR 97401-3718 | 2005-09-29 |
1689677320 | Peacehealth | General Acute Care Hospital | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2005-05-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PEACEHEALTH | 1115 Se 164th Avenue, Vancouver, WA 98683-9324 |
Washington State Corporations | PEACEHEALTH | 1115 Se 164th Ave Dept. 302, Vancouver, WA 98683 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
Washington State Corporations | PEACEHEALTH ASC BELLINGHAM, LLC | 1115 Se 164th Ave, Dept 302, Vancouver, WA 98683-9324 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | 1515 Village Dr, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER FOUNDATION | 1515 Village Dr, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER SWING | 1515 Village Drive, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH HOSPITAL MEDICINE | 3333 Riverbend Dr, Springfield, OR 97477 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH LABORATORIES | 123 International Way, Springfield, OR 97477 |
Street Address |
809 E CHESTNUT ST |
City | BELLINGHAM |
State | WA |
Zip Code | 98225-5221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750704169 | Elizabeth Birgeneau | Physical Therapist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2014-01-22 |
1205259629 | Drucinda Fredrick | Physical Therapist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2014-01-22 |
1316382708 | E'lana A. Ecker | Speech-Language Pathologist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2013-04-30 |
1598100976 | Eileen Marie Coan | Occupational Therapist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2013-04-30 |
1528403912 | Dena M. Smith | Speech-Language Pathologist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2013-04-30 |
1548564610 | Kenneth Eastham | Occupational Therapist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2011-01-05 |
1861667651 | Timothy L Justice | Counselor | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2008-04-23 |
1942492665 | Carol Jean Lucero | Speech-Language Pathologist | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2007-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
Find all providers in zip 98225 |
Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437575982 | Suzette Gurtisen, Lmp | Rehabilitation Unit | 4763 Poppy St, West Richland, WA 99353-7770 | 2014-03-07 |
1407055759 | Providence Health & Services Washington | Rehabilitation Unit | 410 Providence Ln., Building 2, Olympia, WA 98506-5101 | 2007-07-17 |
1225230980 | Columbia Basin Physical Therapy Inc. Ps | Rehabilitation Unit | 1075 Basin St Sw, Ephrata, WA 98823-2041 | 2007-06-04 |
1972507580 | Kadlec Regional Medical Center | Rehabilitation Unit | 888 Swift Blvd, Richland, WA 99352 | 2005-06-10 |
1790319580 | Kadlec Regional Medical Center | Rehabilitation Unit | 888 Swift Blvd, Richland, WA 99352-3514 | 2020-03-02 |
1548734205 | Peacehealth Southwest Medical Center | Rehabilitation Unit | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-01-16 |
1861995714 | Peacehealth United General Medical Center | Rehabilitation Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2018-03-16 |
1437677671 | Shc Medical Center - Yakima | Rehabilitation Unit | 110 S 9th Ave, Yakima, WA 98902-3315 | 2017-09-08 |
1558601195 | Seattle Spine and Rehabilitation | Rehabilitation Unit | 3213 Eastlake Ave E, Seattle, WA 98102-7127 | 2013-02-19 |
1750627089 | Wenatchee Valley Hospital | Rehabilitation Unit | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2012-12-13 |
Find all providers with the same taxonomy |
City | BELLINGHAM |
Zip Code | 98225 |
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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.