PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1306391446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306391446 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Other Organization Name | PMG PHC PROVIDENCE EXPRESS CARE |
| Practice Address |
2923 E 29th Ave Spokane WA 99223-4811 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5096269820 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-11-26 |
| Authorized Official Name | DONALD ANDERSON JR. (DIRECTOR REIMBURSEMENT ADMINISTRATI) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PMG PHC Providence Express Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1023563897 | Providence Health & Services Washington | Clinic/Center | 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 | 2016-08-22 |
| 1457721250 | Providence Health & Services Washington | Clinic/Center | 1200 Basich Blvd, Aberdeen, WA 98520-1035 | 2015-10-06 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1073744850 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 | 2009-07-28 |
| 1770714693 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 | 2009-07-28 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| Street Address |
2923 E 29TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952122 | Jolene Marie Woodley | Physician Assistant | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2006-02-20 |
| 1962884577 | Sarah Grisier | Registered Nurse | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2015-06-19 |
| 1821479049 | Ashley Wilkinson | Physician Assistant | 2923 E 29th Ave, Spokane, WA 99223 | 2015-06-12 |
| 1063817831 | Shira Albert | Nurse Practitioner | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2014-10-23 |
| 1124353693 | Brianna E Hart | Physician Assistant | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| 1669715330 | Samuel Selinger | General Practice | 5441 S Quail Ridge Cir, Spokane, WA 99223-6390 | 2013-04-01 |
| 1790043529 | Parviz Partovi | General Practice | 11424 N Forest Hill Dr, Spokane, WA 99218-2790 | 2012-04-30 |
| 1760641021 | Spokane Hyperbaric and Wound Care Consultants Ps | General Practice | West 800 Fifth Ave, Deaconess Medical Center, Spokane, WA 99210 | 2008-06-03 |
| 1922014885 | Patricia Cecelia O'rourke | General Practice | 10117 N Division St, Suite 3, Spokane, WA 99218-1306 | 2006-07-31 |
| 1154345502 | Ronald L Krueger | General Practice | 1712 E 34th Ave, Spokane, WA 99203-4006 | 2006-07-27 |
| 1245579622 | Neuropathy Northwest Health & Wellness Center | General Practice | 203 E Dalke Ave, Spokane, WA 99208-8112 | 2013-02-05 |
| 1588902597 | Danica Parkin | General Practice | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2013-01-25 |
| 1184805962 | John R Quinn | General Practice | 9103 N Division St, Spokane, WA 99218-1251 | 2007-11-20 |
| 1306984646 | Debra R Gore | General Practice | 322 W North River Dr, Spokane, WA 99201-3208 | 2007-02-01 |
| 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.