PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1174774673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774673 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE ST JOSEPH CARE CENTER |
| Practice Address |
17 E 8th Ave Spokane WA 99202-1201 |
| Practice Telephone | 5094745678 |
| Practice Fax Number | 5096241095 |
| Mailing Telephone | 5094745678 |
| Mailing Fax Number | 5096241095 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | BILLIE JEAN MOUNTS (CHIEF REIMBURSEMENT OFFICER) |
| Authorized Official Telephone | 4256873910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | WA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PROVIDENCE ST JOSEPH CARE CENTER | Doing Business As Name - Organization |
| 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 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1003906918 | Providence Health & Services - Washington | Home Health | 3432 Bay Rd Ne, Olympia, WA 98506-2958 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
17 E 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033622 | Providence Health Care | Skilled Nursing Facility | 17 E 8th Ave, Spokane, WA 99202-1201 | 2005-09-13 |
| 1639638372 | Rebecca Stillwell | Registered Nurse | 17 E 8th Ave, Spokane, WA 99202-1201 | 2019-03-12 |
| 1912374646 | Kate Adkins | Physical Therapist | 17 E 8th Ave, Spokane, WA 99202-1201 | 2015-08-28 |
| 1265818066 | Jonathan Edward Braun | Physical Therapist | 17 E 8th Ave, Spokane, WA 99202 | 2015-08-04 |
| 1336445337 | Kathryn A Dauer | Physical Therapist | 17 E 8th Ave, Spokane, WA 99202-1201 | 2011-02-08 |
| 1811291537 | Amanda Mae Mackey | Occupational Therapist | 17 E 8th Ave, Spokane, WA 99202-1201 | 2011-01-10 |
| 1245534080 | Johanna M Overhauser | Occupational Therapist | 17 E 8th Ave, Spokane, WA 99202-1201 | 2011-01-10 |
| 1699877357 | Deborah A Copus | Family Medicine | 17 E 8th Ave, Spokane, WA 99202-1201 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| 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 |
|---|---|---|---|---|
| 1063671030 | Waterford On The South Hill | Skilled Nursing Facility | 2999 S Waterford Dr, Spokane, WA 99203-4410 | 2008-06-05 |
| 1326119017 | Franklin Hills Health - Spokane LLC | Skilled Nursing Facility | 6021 N Lidgerwood St, Spokane, WA 99208-1125 | 2006-11-13 |
| 1306950472 | Spokane United Methodist Homes | Skilled Nursing Facility | 101 E Hawthorne Rd, Spokane, WA 99218-1463 | 2006-08-18 |
| 1467497511 | Manor Care of Spokane Wa, Association | Skilled Nursing Facility | 6025 N Assembly St, Spokane, WA 99205-7674 | 2006-06-20 |
| 1720028509 | Touchmark On South Hill Lp | Skilled Nursing Facility | 2929 S Waterford Dr, Spokane, WA 99203-4400 | 2006-06-08 |
| 1245284835 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 3600 E Hartson Ave, Spokane, WA 99202-5102 | 2006-05-19 |
| 1154381358 | Riverview Lutheran Retirement Community of Spokane | Skilled Nursing Facility | 1841 E Upriver Dr, Spokane, WA 99207-5164 | 2006-03-23 |
| 1851381032 | Department of Veterans Affairs Spokane Veterans Home | Skilled Nursing Facility | 222 E 5th Ave, Spokane, WA 99202-1394 | 2005-10-27 |
| 1326033622 | Providence Health Care | Skilled Nursing Facility | 17 E 8th Ave, Spokane, WA 99202-1201 | 2005-09-13 |
| 1376538637 | Spokane Royal Park Care, LLC | Skilled Nursing Facility | 7411 North Nevada Street, Spokane, WA 99208-5518 | 2005-09-13 |
| Find all providers in SPOKANE | ||||
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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.