PROVIDENCE EVERETT MEDICAL CENTER


Address: 916 Pacific Avenue, Everett, WA 98206-1067
Phone: 4252587304

PROVIDENCE EVERETT MEDICAL CENTER (NPI# 1134223878) 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) 1134223878
Entity Type Organization
Organization Name PROVIDENCE EVERETT MEDICAL CENTER
Other Organization Name INPATIENT REHABILITATION FACILITY
Practice Address 916 Pacific Avenue
Everett
WA 98206-1067
Mailing Address 909 N Broadway
Pbo Credentialing
Everett
WA 98201-1409
Practice Telephone 4252587304
Practice Fax Number 4252587136
Mailing Telephone 4253170264
Mailing Fax Number 4253170291
Enumeration Date 2006-09-12
Last Update Date 2008-09-24
Authorized Official Name MRS. JOYCE KOBAYASHI (DIR REVENUE CYCLE MGMT NWSA)
Authorized Official Telephone 4253170186
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273Y00000X Rehabilitation Unit H084 WA Hospital Units

Other Provider/Organization Names

Other Name Type Code
Inpatient Rehabilitation Facility Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073773198 Providence Everett Medical Center Clinic/Center 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 2008-06-12
1982805784 Providence Everett Medical Center Social Worker 900 Pacific Ave, First Floor, Everett, WA 98201-4168 2007-05-30
1538377957 Providence Everett Medical Center Clinical Medical Laboratory 1321 Colby Ave, Everett, WA 98201-1665 2007-05-18
1063551596 Providence Everett Medical Center Clinic/Center 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 2007-02-05
1740344100 Providence Everett Medical Center Nutritionist 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 2006-12-20
1255495024 Providence Everett Medical Center Nutritionist 900 Pacific Ave, First Floor, Everett, WA 98201-4168 2006-12-19
1770643629 Providence Everett Medical Center Nurse Practitioner 916 Pacific Ave, 1 South, Everett, WA 98201-4147 2006-12-11
1104993716 Providence Everett Medical Center Nurse Practitioner 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 2006-11-29
1447326574 Providence Everett Medical Center Clinic/Center 900 Pacific Ave, Suite 200, Everett, WA 98201-4168 2006-11-28
1992871735 Providence Everett Medical Center Clinic/Center 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 2006-11-24

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PROVIDENCE EVERETT MEDICAL CENTER 1321 Colby Ave, Everett, WA 98206

Office Location

Street Address 916 PACIFIC AVENUE
City EVERETT
State WA
Zip Code 98206-1067

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003879800 Bethany of The Northwest Skilled Nursing Facility 916 Pacific Avenue, Everett, WA 98201 2006-04-11
1295902609 Rose Mary Brown Dietary Manager 916 Pacific Avenue, Everett, WA 98201 2008-05-14
1669566659 Deborah Ann Mcgrath-zehm Nutritionist 916 Pacific Avenue, 7th Floor Diabetes & Nutrition Program, Everett, WA 98201 2006-10-03
1538191739 Ronald Hodges Obstetrics & Gynecology 916 Pacific Avenue, 7th Floor, Everett, WA 98201-4147 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457338451 Philip D. Feliciano Surgery 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 2005-12-30
1649308867 Menaka Charan Specialist 916 Pacific Ave, Everett, WA 98206 2007-03-01
1245290592 Martin John Pointon Pathology 1321 Colby Avenue, Everett, WA 98206 2006-03-23
1063481570 Cellnetix Labs LLC Clinical Medical Laboratory 1321 Colby Avenue, Everett, WA 98206 2006-03-16
1356310866 Cellnetix Pathology Pllc Pathology 1321 Colby Avenue, Everett, WA 98206 2006-03-16
1124097233 Barry Todd Kahn Pathology 1321 Colby Avenue, Everett, WA 98206 2006-03-14
1679541080 Lawrence Edwin Preshaw Pathology 1321 Colby Avenue, Everett, WA 98206 2006-03-10
1437137999 G. Thomas Ruebel Radiology 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 2006-01-05
1639157191 Donald R. Peters Radiology 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 2006-01-05
1215915723 Nancy Jane Neubauer Radiology 1321 Colby Ave, Providence Everett Medical Center, Everett, WA 98206 2006-01-04
Find all providers in zip 98206

Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730330838 Providence Health & Services-wa Rehabilitation Unit 916 Pacific Ave, Everett, WA 98201-4147 2008-10-07

Providers in the same taxonomy and state

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
1083672273 Peacehealth Rehabilitation Unit 809 E Chestnut St, Bellingham, WA 98225-5221 2006-05-04
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
Find all providers with the same taxonomy

Competitor

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City EVERETT
Zip Code 98206

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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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