PROVIDENCE HEALTH CARE (NPI# 1285732602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285732602 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH CARE |
| Other Organization Name | ST JOSEPHS HOSPITAL OF CHEWELAH |
| Practice Address |
500 E Webster Ave Chewelah WA 99109-9523 |
| Mailing Address |
Po Box 197 500 E. Webster Chewelah WA 99109-0197 |
| Practice Telephone | 5099358211 |
| Practice Fax Number | 5099355205 |
| Mailing Telephone | 5099358211 |
| Mailing Fax Number | 5099355205 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. GARY V PECK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5099355200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H-194 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 30-07648 | 05 | |
| WA | 36-00046 | 05 |
| Other Name | Type Code |
|---|---|
| St Josephs Hospital of Chewelah | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887588 | Providence Health Care | Respite Care | 6018 N Astor St, Spokane, WA 99208-1107 | 2006-12-14 |
| 1396827424 | Providence Health Care | General Acute Care Hospital | E 1015 'd' Street, Deer Park, WV 99006-0742 | 2006-10-19 |
| 1417057233 | Providence Health Care | General Acute Care Hospital | 1015 East D Street, Deer Park, WA 99006-0742 | 2006-09-22 |
| 1326033622 | Providence Health Care | Skilled Nursing Facility | 17 E 8th Ave, Spokane, WA 99202-1201 | 2005-09-13 |
| 1184875932 | Providence Health Care | Pharmacy | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-10-09 |
| 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 |
| 1659558476 | Providence Health Care | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave, Ste 330, Spokane, WA 99204-2349 | 2008-01-23 |
| 1720270473 | Providence Health Care | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-08-16 |
| 1043306541 | Providence Health Care | Skilled Nursing Facility | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROVIDENCE HEALTH CARE | 101 West Eighth Ave, Spokane, WA 99204 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH CARE FOUNDATION, EASTERN WASHINGTON | 101 W Eight Ave, Spokane, WA 99204-2307 |
| Virginia Business Entities | PROVIDENCE HEALTH CARE INC. | 4500 Dorr St, Toledo, Ohio 43615 |
| Washington State Corporations | PROVIDENCE HEALTH CARE STAFFING INC. | 1040 Randolph St Suite 42, Thomasville, NC 27360 |
| Washington State Corporations | PROVIDENCE HEALTH CARE STAFFING, INC. | 1040 Randolph St Ste 42, Thomasville, NC 27360-6384 |
| Colorado Business Entities | PROVIDENCE HEALTH CARE STAFFING, INC. | 1040 Randolph Street, Suite 42, Thomasville, NC 27360 |
| Washington State Corporations | PROVIDENCE HEALTH CARE VENTURES, INC. | 1801 Lind Ave Sw, Renton, WA 98057-3368 |
| Vermont Business Registrations | PROVIDENCE HEALTH CARE, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
500 E WEBSTER AVE |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902058399 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1447402839 | Providence Health & Services - Wa | Medicare Defined Swing Bed Unit | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1700038197 | Providence Health & Services - Wa | Skilled Nursing Facility | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1750532321 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-01 |
| 1336316314 | Providence Physician Services Co | Internal Medicine | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-05-09 |
| 1013181643 | Phyllis Belzer | Dietitian, Registered | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-04-15 |
| 1134317803 | Nellie Lucille Boone | Physician Assistant | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-10-09 |
| 1588855548 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1710192968 | Christine Mcglinchy Hayman | Pharmacist | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750532321 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-01 |
| 1588855548 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1528154929 | Providence Health Care | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157640 | University of Washington | General Acute Care Hospital | 140 W Florentia St Apt C, Seattle, WA 98119-2393 | 2016-07-29 |
| 1396199824 | Seattle Extracorporeal | General Acute Care Hospital | 925 Seneca Street, Seattle Extracorporeal, Seattle, WA 98101 | 2016-04-21 |
| 1487917233 | Peacehealth Peace Island Medical Center | General Acute Care Hospital | 1117 Spring Street, Friday Harbor, WA 98250-7303 | 2012-06-18 |
| 1699914226 | 633 | General Acute Care Hospital | 7244 237th Ave Ne, Redmond, WA 98053-7914 | 2009-02-04 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
| 1508911645 | Okanogan Douglas County Hospital Dist 1 | General Acute Care Hospital | 537 West Main, Brewster, WA 98812 | 2007-01-25 |
| 1801944038 | Us Veterns Hospital Pharmacy | General Acute Care Hospital | 611 Sw 1st Ct, Battle Ground, WA 98604-8424 | 2007-01-05 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| 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.