PEACEHEALTH SOUTHWEST MEDICAL CENTER (NPI# 1548734205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548734205 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Practice Address |
400 Ne Mother Joseph Pl Vancouver WA 98664-3200 |
| Mailing Address |
1115 Se 164th Ave Vancouver WA 98683-9324 |
| Practice Telephone | 3605143294 |
| Practice Fax Number | 3605143185 |
| Mailing Telephone | 3607291041 |
| Mailing Fax Number | 3605017565 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | KIMBERLY A HODGKINSON (EVP/CFO) |
| Authorized Official Telephone | 3607291145 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| PeaceHealth Southwest Inpatient Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003194911 | Peacehealth Southwest Medical Center | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-07-26 |
| 1285720896 | Peacehealth Southwest Medical Center | Home Health | 100 E 33rd St, Vancouver, WA 98663 | 2006-10-04 |
| 1134178999 | Peacehealth Southwest Medical Center | Psychiatric Unit | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEACEHEALTH SOUTHWEST MEDICAL CENTER | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 |
| Washington State Corporations | PEACEHEALTH SOUTHWEST MEDICAL CENTER | 1115 Se 164th Avenue, Vancouver, WA 98683 |
| Street Address |
400 NE MOTHER JOSEPH PL |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161955 | Jacintha Stall Cauffield | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2005-08-15 |
| 1255967675 | Veronica Leung Mo | Social Worker | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-03-17 |
| 1982234530 | Aaryo Bakhtiar | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-23 |
| 1881233120 | Knoll Kristoffer Aguilar | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-03 |
| 1356988042 | Trevor Swedeen | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-12-02 |
| 1801458906 | John Alin Bucur | Registered Nurse | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-06-28 |
| 1619430196 | Catherine Winter | Student in an Organized Health Care Education/Training Program | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-04-10 |
| 1750846903 | Stephanie Ann Potter | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-02-01 |
| 1386146173 | Erin Eleanor Mills | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2018-03-07 |
| 1932615523 | Karlie Abrams | Dietitian, Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437575982 | Suzette Gurtisen, Lmp | Rehabilitation Unit | 4763 Poppy St, West Richland, WA 99353-7770 | 2014-03-07 |
| 1407055759 | Providence Health & Services Washington | Rehabilitation Unit | 410 Providence Ln., Building 2, Olympia, WA 98506-5101 | 2007-07-17 |
| 1225230980 | Columbia Basin Physical Therapy Inc. Ps | Rehabilitation Unit | 1075 Basin St Sw, Ephrata, WA 98823-2041 | 2007-06-04 |
| 1083672273 | Peacehealth | Rehabilitation Unit | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2006-05-04 |
| 1972507580 | Kadlec Regional Medical Center | Rehabilitation Unit | 888 Swift Blvd, Richland, WA 99352 | 2005-06-10 |
| 1790319580 | Kadlec Regional Medical Center | Rehabilitation Unit | 888 Swift Blvd, Richland, WA 99352-3514 | 2020-03-02 |
| 1861995714 | Peacehealth United General Medical Center | Rehabilitation Unit | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2018-03-16 |
| 1437677671 | Shc Medical Center - Yakima | Rehabilitation Unit | 110 S 9th Ave, Yakima, WA 98902-3315 | 2017-09-08 |
| 1558601195 | Seattle Spine and Rehabilitation | Rehabilitation Unit | 3213 Eastlake Ave E, Seattle, WA 98102-7127 | 2013-02-19 |
| 1750627089 | Wenatchee Valley Hospital | Rehabilitation Unit | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2012-12-13 |
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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.