PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1124025507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124025507 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Other Organization Name | PROVIDENCE TRANSITIONAL CARE CENTER |
| Practice Address |
910 Compassion Circle Anchorage AK 99504-1645 |
| Mailing Address |
3760 Piper St Suite 1061 Anchorage AK 99508-4665 |
| Practice Telephone | 9072129100 |
| Practice Fax Number | 9072129102 |
| Mailing Telephone | 9072120256 |
| Mailing Fax Number | 9072126547 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | CIMMIE WHITE (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 9072120256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1007108 | 05 | |
| AK | BLUE CROSS | 213 | 01 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE TRANSITIONAL CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1023563897 | Providence Health & Services Washington | Clinic/Center | 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 | 2016-08-22 |
| 1457721250 | Providence Health & Services Washington | Clinic/Center | 1200 Basich Blvd, Aberdeen, WA 98520-1035 | 2015-10-06 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 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 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| Street Address |
910 COMPASSION CIRCLE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780866715 | Raindance Healthcare Group, Inc. | Skilled Nursing Facility | 3510 Spenard Rd Ste 100, Anchorage, AK 99503-3777 | 2007-11-30 |
| 1376638171 | Providence Health & Services - Washington | Skilled Nursing Facility | 4900 Eagle St, Anchorage, AK 99503-7446 | 2006-10-04 |
| 1396096996 | Providence Health & Services - Washington | Skilled Nursing Facility | 3760 Piper St, Suite 1061, Anchorage, AK 99508-4683 | 2012-09-24 |
| 1215167382 | Providence Health and Services Alaska | Skilled Nursing Facility | 4900 Eagle St, Anchorage, AK 99503-7446 | 2009-07-22 |
| 1801021290 | Care Center Anchorage Inc. | Skilled Nursing Facility | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2009-05-28 |
| 1285729087 | Providence Health System - Washington | Skilled Nursing Facility | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1821438342 | Yukon-kuskokwim Health Corporation | Skilled Nursing Facility | 1100 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2013-06-28 |
| 1518240084 | Maniilaq Association | Skilled Nursing Facility | 436 Mission St, Kotzebue, AK 99752-0510 | 2011-09-21 |
| 1821102757 | City of Seward | Skilled Nursing Facility | 2203 Oak Street, Seward, AK 99664 | 2006-08-18 |
| 1790715928 | City of Valdez | Skilled Nursing Facility | 911 Meals Avenue, Valdez, AK 99686 | 2006-07-04 |
| 1821036880 | Denali Center | Skilled Nursing Facility | 1510 19th Ave, Fairbanks, AK 99701-5900 | 2006-06-03 |
| 1255302386 | Wildflower Court Inc | Skilled Nursing Facility | 2000 Salmon Creek Ln, Juneau, AK 99801-7801 | 2006-01-27 |
| 1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1396223210 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1326597410 | Denali Center, LLC | Skilled Nursing Facility | 1510 19th Ave, Fairbanks, AK 99701-5900 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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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.