PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1265776918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265776918 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Other Organization Name | SKAGIT VALLEY HOSPITAL NEURODEVELOPMENTAL CENTER |
| Practice Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3608148382 |
| Mailing Telephone | 3608146724 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3608145838 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
H-207 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2024212 | 05 |
| Other Name | Type Code |
|---|---|
| Skagit Valley Hospital Neurodevelopmental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316061765 | Public Hospital Dist No 1 Skagit | Clinic/Center | 875 Wesley St Ste 160, Arlington, WA 98223-1650 | 2007-03-19 |
| 1013064575 | Public Hospital Dist No 1 Skagit | Family Medicine | 1190 Riddle Street, Darrington, WA 98241 | 2007-01-05 |
| 1093889875 | Public Hospital Dist No 1 Skagit | Clinic/Center | 208 S. Hospital Parkway, Mount Vernon, WA 98274-4126 | 2006-11-20 |
| 1831131135 | Public Hospital Dist No 1 Skagit | Durable Medical Equipment & Medical Supplies | 1410 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-06-12 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1033164470 | Public Hospital Dist No 1 Skagit | Family Medicine | 405 W. Stanley Street, Granite Falls, WA 98252-8631 | 2006-05-24 |
| 1811460652 | Public Hospital Dist No 1 Skagit | Physical Therapy Assistant | 1901 Hoag Road, Suite B, Mount Vernon, WA 98273 | 2019-01-04 |
| 1497163448 | Public Hospital Dist No 1 Skagit | Emergency Medicine | 3823 172nd St Ne, Arlington, WA 98223-7735 | 2014-07-22 |
| 1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
| 1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360707 | Rick A Wenning | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-01-10 |
| 1396367561 | Sarah Zubair | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-05-11 |
| 1538798889 | Savannah Martha Broadlick | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-07 |
| 1639708175 | Melinda Mae Mantooth | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-06 |
| 1699303974 | Matthew Kon | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-31 |
| 1518595412 | Rhandy Ceballos | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-28 |
| 1467089235 | Khadij Assani | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-23 |
| 1689210874 | Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-11-22 |
| 1760023170 | Jessica K. Fletcher | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-10-07 |
| 1932769007 | Kerrie Steffan | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446535 | Responding To Autism Services Inc. | Clinic/Center | 4206 W 24th Ave Ste B101, Kennewick, WA 99338-2321 | 2018-05-03 |
| 1609228774 | Kidsmarts | Clinic/Center | 2518 E Calhoun St, Seattle, WA 98112-2616 | 2016-07-12 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1114098274 | Early Choice Pediatric Therapy, Pllc | Clinic/Center | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-11-12 |
| 1598716748 | Innovative Services Nw | Clinic/Center | 9414 Ne Fourth Plain Road, Vancouver, WA 98662 | 2006-05-12 |
| 1407113236 | Olympic Peninsula Autism Center | Clinic/Center | 3500 Nw Bucklin Hill Rd, Suite 101, Silverdale, WA 98383-8503 | 2012-04-18 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DIST NO 1 SKAGIT.
| 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.