PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1285687749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285687749 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
Other Organization Name | PROVIDENCE INFUSION AND PHARMACY SERVICES |
Practice Address |
3333 S 120th Pl Suite 10 Tukwila WA 98168-5134 |
Mailing Address |
3333 S 120th Pl Suite 100 Tukwila WA 98168-5134 |
Practice Telephone | 4256874400 |
Practice Fax Number | 4256874401 |
Mailing Telephone | 4256874400 |
Mailing Fax Number | 4256874401 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-02-18 |
Authorized Official Name | MR. LARRY W OLIVER (DIRECTOR) |
Authorized Official Telephone | 4256874400 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHAR.CF.60389608 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1006822 | 05 |
Other Name | Type Code |
---|---|
Providence Infusion and Pharmacy Services | 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 |
3333 S 120TH PL SUITE 10 |
City | TUKWILA |
State | WA |
Zip Code | 98168-5134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477939528 | Christine Kiyomi Gibo | Pharmacist | 3333 S 120th Pl, Suite 100, Tukwila, WA 98168-5134 | 2015-07-30 |
1497061337 | Jeffrey L Walker | Pharmacist | 3333 S 120th Pl, Suite 100, Tukwila, WA 98168-5134 | 2010-08-30 |
1609896984 | Larry William Oliver | Pharmacist | 3333 S 120th Pl, Ste 100, Tukwila, WA 98168-5134 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
Find all providers in zip 98168 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922215094 | Mikes Drugs | Pharmacy | 8506 E. Mill Plain Blvd. Suite B, Vancouver, WA 98664 | 2007-05-17 |
1487670980 | Apria Healthcare, Inc. | Pharmacy | 520 E North Foothills Dr Ste 400, Spokane, WA 99207-2158 | 2006-07-15 |
1548263403 | Bioscrip Pharmacy, Inc. | Pharmacy | 1001 Broadway, Ste 102, Seattle, WA 98122-4342 | 2005-05-24 |
1821619644 | Paragon Hemophilia Solutions LLC | Pharmacy | 300 W 15th St Ste 203, Vancouver, WA 98660-2911 | 2020-05-04 |
1912530106 | Kaiser Foundation Health Plan of Washington | Pharmacy | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-02-17 |
1538492194 | Infusion Solutions Inc | Pharmacy | 134 Prince Ave Ste B, Bellingham, WA 98226-6703 | 2009-09-15 |
1457408510 | Bond Enterprises Inc. | Pharmacy | 4700 Point Fosdick Dr Nw, Ste. 120, Gig Harbor, WA 98335-1706 | 2007-01-04 |
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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.