PROVIDENCE HEALTH & SERVICES - WASHINGTON


Address: 209 W Poplar St, Walla Walla, WA 99362
Phone: 5098978600

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1558512368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558512368
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name PROVIDENCE ST MARY HOME HEALTH
Practice Address 209 W Poplar St
Walla Walla
WA 99362
Mailing Address Po Box 1477
Walla Walla
WA 99362-0312
Practice Telephone 5098978600
Practice Fax Number 5098975872
Mailing Telephone 5095225906
Mailing Fax Number 5095225789
Enumeration Date 2008-10-10
Last Update Date 2018-08-02
Authorized Official Name DONALD WAYNE ANDERSON (DIR REIMBURSEMENT ADMINISTRATION)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health IS446 WA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WA 9109703 05
WA L&I 074073 01

Other Provider/Organization Names

Other Name Type Code
Providence St Mary Home Health Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407162571 Providence Health & Services - Washington Internal Medicine 510 E Amende Drive, Odessa, WA 99159-0000 2010-08-26
1841503034 Providence Health & Services - Washington Family Medicine 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 2010-07-16
1083947709 Providence Health & Services - Washington Hospice Care, Community Based 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 2009-09-14
1760636690 Providence Health & Services - Washington Neurological Surgery 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 2008-11-05
1922259738 Providence Health & Services - Washington Internal Medicine 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 2008-10-10
1306097126 Providence Health & Services - Washington Radiology 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 2008-10-10
1043374119 Providence Health & Services - Washington Rehabilitation, Substance Use Disorder Unit 508 Quarter Eighth Street, Hoquiam, WA 98550 2006-12-21
1073677605 Providence Health & Services - Washington Rehabilitation, Substance Use Disorder Unit 506 W Franklin St, Shelton, WA 98584-3517 2006-12-20
1003906918 Providence Health & Services - Washington Home Health 3432 Bay Rd Ne, Olympia, WA 98506-2958 2006-10-13
1376638171 Providence Health & Services - Washington Skilled Nursing Facility 4900 Eagle St, Anchorage, AK 99503-7446 2006-10-04

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Providence Health & Services - Washington 1801 Lind Ave. Sw, #9016, Renton, WA 98057

Office Location

Street Address 209 W POPLAR ST
City WALLA WALLA
State WA
Zip Code 99362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790201853 Trevin Fritschka Clinic/Center 209 W Poplar St, Walla Walla, WA 99362-2828 2017-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164065959 Kevin Gia-minh Phan Optometrist Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 2019-10-24
1659836401 Arlene Lavonne Whitney Social Worker 1361 Dalles Military Road, Walla Walla, WA 99362 2019-02-06
1053880674 Julie Ann Cooke Speech-Language Pathologist Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 2018-11-14
1558887133 Chantey Walker Massage Therapist 1840 Pleasant St, Walla Walla, WA 99362 2017-08-16
1447798723 Carrie S Diede Speech-Language Pathologist 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 2017-02-07
1235584103 Anchor Point Counseling Pllc Clinic/Center 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 2016-04-28
1548627011 Washington State Walla Walla Veterans Home Skilled Nursing Facility 92 Wainwright Drive, Walla Walla, WA 99362 2016-01-28
1073926200 Sherry Goff Registered Nurse 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 2014-06-05
1538597935 Michael Wade Gillespie Orthopaedic Surgery 101 Brookside Drive, Walla Walla, WA 99362 2013-10-22
1023357985 Sandra Kay Bushnell Speech-Language Pathologist 1105 Isaacs Ave, Walla Walla, WA 99362 2013-02-12
Find all providers in zip 99362

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134593593 Santana LLC Home Health 5 W Alder St Ste 202, Walla Walla, WA 99362-2863 2015-11-23
1124114921 St Mary Medical Center Home Health 401 W Poplar, Walla Walla, WA 99362 2006-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104433481 Malaika Home Care LLC Home Health 10518 N Russett Dr, Spokane, WA 99208-6729 2020-09-30
1619582632 Flowing Water Venture Inc. Home Health 23453 16th Ave S Apt A304, Des Moines, WA 98198-8042 2020-09-15
1477163236 Pnw Kupuna Care, LLC Home Health 203 S 4th Ave, Sequim, WA 98382-3719 2020-08-06
1538778295 Eden Home Health of Clark County, LLC Home Health 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 2020-07-29
1033736160 Home Health Seattle LLC Home Health 19803 1st Ave S Ste 200, Normandy Park, WA 98148-2410 2020-07-06
1265053920 Premier Care Services Home Health 13555 Ne Bel Red Rd Ste 113, Bellevue, WA 98005-2324 2020-05-04
1861011330 Samuel Kihiu Njenga Home Health 3607 27th St Se, Puyallup, WA 98374-1716 2020-04-14
1972136745 Tender Angels Home Care Home Health 11900 Ne 1st St Bldg G, Bellevue, WA 98005-3046 2020-02-19
1154953628 Meliorahealthcare Pllc Home Health 17539 10th Ave Nw, Shoreline, WA 98177-3804 2020-02-12
1235786781 Ahhpc, Inc. Home Health 907 W Boone Ave Ste B, Spokane, WA 99201-2503 2019-08-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City WALLA WALLA
Zip Code 99362

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Dataset Information

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.

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