COLUMBIA CAPITAL MEDICAL CENTER (NPI# 1487690517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487690517 |
Entity Type | Organization |
Organization Name | COLUMBIA CAPITAL MEDICAL CENTER |
Other Organization Name | CAPITAL MEDICAL CENTER |
Practice Address |
3900 Capital Mall Dr Sw Olympia WA 98502 |
Practice Telephone | 3607545858 |
Practice Fax Number | 3609562574 |
Mailing Telephone | 3607545858 |
Mailing Fax Number | 3609562574 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. BRIAN ANDERSON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3607044761 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | H197 | WA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 505490 | 05 |
Other Name | Type Code |
---|---|
Capital Medical Center | Doing Business As Name - Organization |
Street Address |
3900 CAPITAL MALL DR SW |
City | OLYMPIA |
State | WA |
Zip Code | 98502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992709604 | Gary Lee Wood | Radiology | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2005-06-09 |
1992325377 | Lindsay Kate Rios | Nurse's Aide | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2020-04-25 |
1629612544 | Assured Surgical Assisting LLC | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-11-04 |
1699319897 | Kyle Thompson | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-10-30 |
1790337558 | Katharine Conley | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-07-11 |
1144673682 | Daniel Hanson | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-07-20 |
1891164042 | Christopher Robert White | Physical Therapy Assistant | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-09-17 |
1700272028 | Prathyusha Naidu | Internal Medicine | 3900 Capital Mall Dr Sw, Olympia, WA 98502 | 2015-04-13 |
1023411717 | Daniel G Ng | Pharmacist | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-10-08 |
1104246388 | Alta Blanche Kendall | Nurse Practitioner | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285936229 | Capital Hospitalists | General Acute Care Hospital | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2010-11-24 |
1346250594 | Providence Health & Services - Washington | General Acute Care Hospital | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2006-08-09 |
1841258639 | Columbia Capital Medical Center, Lp | General Acute Care Hospital | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104373604 | University of Washington Medicine | General Acute Care Hospital | 525 N Bowdoin Pl, Apt 101, Seattle, WA 98103 | 2016-09-01 |
1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
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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.