PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1548398696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548398696 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE SEASIDE HOSPITAL |
| Practice Address |
725 S Wahanna Rd Seaside OR 97138-7735 |
| Mailing Address |
Po Box 3397 Portland OR 97208-3397 |
| Practice Telephone | 5037177000 |
| Mailing Telephone | 5032154323 |
| Mailing Fax Number | 5032150297 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | MS. TERESA SPALDING (ADMINISTRATOR) |
| Authorized Official Telephone | 5032154323 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 800974 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Seaside Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
| 1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
| 1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
| 1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
| 1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
| Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
725 S WAHANNA RD |
| City | SEASIDE |
| State | OR |
| Zip Code | 97138-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033100532 | Michael Paul Adler | Obstetrics & Gynecology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-11-02 |
| 1548896178 | Bradley Louis Roberts | Radiology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2020-03-16 |
| 1346803707 | Emmalee Thornton | Pharmacist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2019-04-20 |
| 1275011447 | Lynne Marie Heroux | Occupational Therapist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2018-07-31 |
| 1447702485 | Carol L Crowe | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-25 |
| 1093266769 | Providence Health & Services Oregon | Anesthesiology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-18 |
| 1134678972 | Carly Hall Haas | Nurse Practitioner | 725 S Wahanna Rd, Suite 230, Seaside, OR 97138-7735 | 2016-09-21 |
| 1154772911 | Karina Marie Squire | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-06-23 |
| 1093176471 | Amanda Washington | Physician Assistant | 725 S Wahanna Rd, Providence North Coast Clinic, Seaside, OR 97138 | 2016-03-14 |
| 1902264559 | Zachary Caverley | Physician Assistant | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114492519 | Maple Hollow Rehabilitation and Nursing LLC | Nursing Facility/Intermediate Care Facility | 34 Ne 20th Ave, Portland, OR 97232-3019 | 2018-10-11 |
| 1124550322 | Lisa's Healing and Helping Hands | Nursing Facility/Intermediate Care Facility | 11832 Ne Couch St, Portland, OR 97220-2358 | 2017-03-28 |
| 1871996710 | Yamhill County Health and Human Services | Nursing Facility/Intermediate Care Facility | 627 Ne Evans St., Mcminnille, OR 97128 | 2014-10-07 |
| 1245598531 | Lane County Community Health Centers | Nursing Facility/Intermediate Care Facility | 3355 N Delta Hwy Unit 108, Eugene, OR 97408-5913 | 2012-04-25 |
| 1760717078 | Eea Company | Nursing Facility/Intermediate Care Facility | 33910 E Columbia Ave, Scappoose, OR 97056-3309 | 2009-10-05 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1003020686 | Hillside Senior Living Community, LLC | Nursing Facility/Intermediate Care Facility | 300 Nw Hillside Park Way, Mcminnville, OR 97128 | 2007-05-10 |
| 1205053600 | St. Jude Operating Company, LLC | Nursing Facility/Intermediate Care Facility | 6003 Se 136th Ave, Portland, OR 97236-4567 | 2007-04-19 |
| 1427273614 | Rose Linn Care Center | Nursing Facility/Intermediate Care Facility | 2330 Debok Rd, West Linn, OR 97068-3902 | 2007-04-15 |
| 1861521312 | Blue Mountain Hospital District | Nursing Facility/Intermediate Care Facility | 112 E 5th St, Prairie City, OR 97869 | 2007-03-02 |
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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.