SISTERS OF PROVIDENCE IN WASHINGTON (NPI# 1366634503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366634503 |
| Entity Type | Organization |
| Organization Name | SISTERS OF PROVIDENCE IN WASHINGTON |
| Other Organization Name | PROVIDENCE MOUNT SAINT VINCENT |
| Practice Address |
4831 35th Ave Sw Seattle WA 98126-2709 |
| Practice Telephone | 2069373700 |
| Practice Fax Number | 2069388999 |
| Mailing Telephone | 2069373700 |
| Mailing Fax Number | 2069388999 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | MR. JOE VOLLMER (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4252545403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
77 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9042979 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE MOUNT SAINT VINCENT | Doing Business As Name - Organization |
| Street Address |
4831 35TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386369 | Providence Health & Services - Washington | Assisted Living Facility | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2005-12-08 |
| 1467972091 | Carley Rissman | Physical Therapist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2017-06-24 |
| 1457601932 | Hillary Danielle Richardson | Occupational Therapist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2012-09-12 |
| 1043347933 | Rxtra Care, Inc. | Pharmacy | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2007-02-27 |
| 1174661805 | Micheal Henry | Pharmacist | 4831 35th Ave Sw, Seattle, WA 98126-2709 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356630305 | King County Elder Service Center | Clinic/Center | 4712 35th Ave S, Seattle, WA 98118-1704 | 2011-03-30 |
| 1780734665 | Yuns Medical Corp | Clinic/Center | 510 7th Ave S, Seattle, WA 98104-2906 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045409 | Northshore Senior Center | Clinic/Center | 10212 E Riverside Dr, Bothell, WA 98011-3709 | 2016-06-24 |
| 1619365558 | Vera Pluschakov | Clinic/Center | 201 S Garden Dr, Lynden, WA 98264-1022 | 2014-12-30 |
| 1366617193 | Multicare Adult Day Health | Clinic/Center | 6442 Yakima Ave, Tacoma, WA 98408-4599 | 2008-04-23 |
| 1083005367 | Senior Services for South Sound | Clinic/Center | 222 Columbia St Nw, Olympia, WA 98501-8208 | 2015-02-09 |
| 1033535117 | Grand Park, LLC | Clinic/Center | 246 St Helens Ave, Tacoma, WA 98402-2522 | 2014-03-12 |
| 1568803146 | The Mobile Tooth Fairy P.s. | Clinic/Center | 6610 89th Street Ct E, Puyallup, WA 98371-6222 | 2013-07-11 |
| 1922341304 | Adult Day Services of The Tri-cities | Clinic/Center | 10 N Washington St, Kennewick, WA 99336-3859 | 2013-04-03 |
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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.