PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1225289895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225289895 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE HOLY FAMILY HOSPITAL |
| Practice Address |
5633 N Lidgerwood St Spokane WA 99208-1224 |
| Practice Telephone | 5094820111 |
| Practice Fax Number | 5094823052 |
| Mailing Telephone | 5094820111 |
| Mailing Fax Number | 5094823052 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3300126 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Holy Family Hospital | 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 |
5633 N LIDGERWOOD ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693919 | Mark J Erwin | Physician Assistant | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2005-07-20 |
| 1881247450 | John Landkammer | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2019-07-22 |
| 1669913331 | Hope Tran | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2017-03-15 |
| 1932571080 | Krista Arthur | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2015-10-28 |
| 1700258324 | Taylor Joel Jackson | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208 | 2015-10-22 |
| 1831509561 | Bradley Alice | Emergency Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2014-05-02 |
| 1457693558 | Joseph Francis Tkacik | Nurse Practitioner | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2013-03-27 |
| 1336445634 | Emergency Physician Services Ps Holy Emergency Center | Emergency Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2011-02-03 |
| 1447493283 | Anita Marie Tuider | Dietitian, Registered | 5633 N Lidgerwood St, Holy Family Hospital/food & Nutrition Services, Spokane, WA 99208-1224 | 2009-04-09 |
| 1235371675 | Johnny Nguyen Do | Internal Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2009-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952525644 | Maui Memorial Hospital | General Acute Care Hospital | 819 W 7th Ave, Spokane, WA 99204-2808 | 2007-04-12 |
| 1124078969 | Spokane Vamc | General Acute Care Hospital | N. 4815 Assembly, Spokane, WA 99205-6185 | 2006-05-11 |
| 1588923262 | Vamc | General Acute Care Hospital | 4815 N Assembly St, Spokane, WA 99205-6185 | 2012-05-15 |
| 1962723684 | Providence Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2010-06-16 |
| 1083866453 | Providence Health & Services - Washington | General Acute Care Hospital | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2008-10-16 |
| 1891947263 | Providence Health & Services - Wa | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-10-16 |
| 1588831622 | Providence Health Care | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-05-08 |
| 1396912432 | Providence Health Care | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-05-08 |
| 1356528269 | Multicare Health System | General Acute Care Hospital | 800 W 5th Ave, Spokane, WA 99204-2803 | 2008-01-23 |
| 1194917849 | Providence Healthcare | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-08-16 |
| 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.