PROVIDENCE (NPI# 1417209628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417209628 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE |
| Practice Address |
101 W 8th Avenue Providence Hospital Spokane WA 99204-2307 |
| Practice Telephone | 5094743131 |
| Mailing Telephone | 5094743131 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | MRS. CHRIS HRYCENKO (FINANCE) |
| Authorized Official Telephone | 5094743131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
17440000000X | WA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567991 | Providence | Non-emergency Medical Transport (VAN) | 17 Daisy Ln, Foxworth, MS 39483-4868 | 2018-11-19 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
| 1124246244 | Providence | Case Management | 43545 Kirkland Ave, Apt.36, Lancaster, CA 93535-4668 | 2007-04-23 |
| 1801918982 | Providence | General Acute Care Hospital | 662 Purdy St, Unit 214, Birmingham, MI 48009-1731 | 2007-04-06 |
| 1316473564 | Providence | General Acute Care Hospital | 9427 Sw Barnes Rd, Sutie 295, Portland, OR 97225 | 2017-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence & Co. LLC | 418 Hickory St., Broomfield, CO 80020 |
| New York State Corporations | PROVIDENCE & SONS GENERAL CONSTRUCTION INC | 465 Bristol Street, Brooklyn, Ny 11212 |
| North Carolina Corporations | Providence 1 Fitness Inc. | 879 S Marye Dr, Graham, NC 27253 |
| Washington State Corporations | PROVIDENCE 107, LLC | 6801 Ripley Ln N, Renton, WA 98056 |
| Washington State Corporations | PROVIDENCE 1402 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 1705 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 2, LLC | 2223 Aqua Vista Ct, Gig Harbor, WA 98335-1531 |
| Colorado Business Entities | Providence 207, LLC | 999 South Logan Street, Suite 200, Denver, CO 80209 |
| Washington State Corporations | PROVIDENCE 4825 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Colorado Business Entities | Providence 600 East Broadway LLC | 4833 Front Street, Ste 410, Castle Rock, CO 80104 |
| Street Address |
101 W 8TH AVENUE PROVIDENCE HOSPITAL |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487160032 | Dana Michelle Brown | Registered Nurse | 101 W 8th Avenue, Pmg, Spokane, WA 99204-2307 | 2017-12-19 |
| 1528593548 | Lucy Baldwin Ledyard | Student in an Organized Health Care Education/Training Program | 101 W 8th Avenue, Spokane, WA 99204 | 2017-04-27 |
| 1538693957 | Ben Renshaw | Student in an Organized Health Care Education/Training Program | 101 W 8th Avenue, Spokane, WA 99204 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992848857 | Shriners Hospitals for Children | General Acute Care Hospital | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346548963 | Seattle Children's Hospital | General Acute Care Hospital | 526 11th Ave E, Seattle, WA 98102-5008 | 2011-03-07 |
| 1700247590 | Nawal Alkharouf | General Acute Care Hospital | 9951 Mickelberry Rd Nw Ste 101, Silverdale, WA 98383-8309 | 2016-03-08 |
| 1780926824 | Seattle Childrens Hospital | General Acute Care Hospital | 4800 Sand Point Way Ne, M/s O.a.9.120.1, Seattle, WA 98105-3901 | 2013-03-26 |
| 1194083568 | Seattle Children's | General Acute Care Hospital | 4800 Sand Point Way Ne, W-7729, Seattle, WA 98105-3901 | 2012-04-24 |
| 1063739936 | Mary Bridge Children's Hospital | General Acute Care Hospital | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-04-30 |
| 1477876449 | Children's Hospital of Wisonsin | General Acute Care Hospital | 6601 Cascade Ave, Gig Harbor, WA 98335-1971 | 2010-03-05 |
| 1871672808 | Northwest Newborn and Pediatric Services PC | General Acute Care Hospital | 400 S 43rd St, Renton, WA 98055-5714 | 2006-11-02 |
| 1730265166 | Pediatrix Medical Group | General Acute Care Hospital | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2006-10-27 |
| 1801981360 | Harry Harrison Jr. | General Acute Care Hospital | 400 S 43rd St, Renton, WA 98055-5010 | 2006-10-03 |
| 1558452631 | Childrens Hospital and Regional Medical Center | General Acute Care Hospital | 4800 Sand Point Way Ne, M/s W3276, Seattle, WA 98105-3901 | 2006-09-27 |
| 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.