PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON (NPI# 1558869289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558869289 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON |
| Other Organization Name | SNOQUALMIE VALLEY HOSPITAL CLINIC |
| Practice Address |
9801 Frontier Ave Se Snoqualmie WA 98065-5200 |
| Practice Telephone | 4258312321 |
| Mailing Telephone | 4258312321 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | BARBI DONOVAN (DIRECTOR, MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 4258312321 |
| Authorized Official Credential | CPCS, CPMSM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Snoqualmie Valley Hospital Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237131 | Public Hospital District No 4 King County Washington | Clinic/Center | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2017-10-31 |
| 1902846546 | Public Hospital District No 4 King County Washington | General Acute Care Hospital | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2006-06-08 |
| Street Address |
9801 FRONTIER AVE SE |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644563 | Noel Theodore Johnson | Internal Medicine | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2005-10-28 |
| 1922612738 | Jiyoung Cha | Registered Nurse | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2020-08-31 |
| 1780126144 | Brenda Marie Taylor | Dietitian, Registered | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2016-11-16 |
| 1841604949 | Molly Fitzgerald Keogh | Physical Therapy Assistant | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2014-06-17 |
| 1548527054 | Cristin Hovee | Specialist | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2012-04-20 |
| 1033448832 | Amanda L Schaefer | Physical Therapy Assistant | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2009-12-08 |
| 1659509727 | Jessica Craik Macdonald | Physical Therapist | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2009-06-29 |
| 1447455738 | Afshin Bidari | Internal Medicine | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-18 |
| 1194929471 | Public Hospital District No 4 King County Wa | Medicare Defined Swing Bed Unit | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-12 |
| 1144432634 | Public Hospital District No. 4 King County Washington | Internal Medicine | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237131 | Public Hospital District No 4 King County Washington | Clinic/Center | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
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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.