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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | H084 | WA | Hospital Units |
Other Name | Type Code |
---|---|
Inpatient Rehabilitation Facility | Other Name - Individual/Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | PROVIDENCE EVERETT MEDICAL CENTER | 1321 Colby Ave, Everett, WA 98206 |
Street Address |
916 PACIFIC AVENUE |
City | EVERETT |
State | WA |
Zip Code | 98206-1067 |
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 |
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 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 |
---|---|---|---|---|
1730330838 | Providence Health & Services-wa | Rehabilitation Unit | 916 Pacific Ave, Everett, WA 98201-4147 | 2008-10-07 |
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 |
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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.