PROVIDENCE HEALTHCARE (NPI# 1588855548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588855548 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTHCARE |
| Other Organization Name | ST JOSEPH HOSPITAL ER PHYSICIANS |
| Practice Address |
500 E Webster Ave Chewelah WA 99109-9523 |
| Mailing Address |
910 N Washington St Ste 209 Spokane WA 99201-2202 |
| Practice Telephone | 5099358211 |
| Mailing Telephone | 5092321145 |
| Mailing Fax Number | 5092321165 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Authorized Official Name | DEBBIE WICKLUND (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5092321177 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTHCARE DBA ST JOSEPHS HOSPITAL ER PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
000077 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | FACILITY ID | 000077 | 01 |
| WA | 7031479 | 05 |
| Other Name | Type Code |
|---|---|
| St Joseph Hospital ER Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770856072 | Providence Healthcare | Home Health | 8505 Nw 74th St, Suite B, Miami, FL 33166-2327 | 2012-02-16 |
| 1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
| 1174692289 | Providence Healthcare | Assisted Living Facility | 34 E 8th Ave, Spokane, WA 99202-7210 | 2006-11-06 |
| 1194917849 | Providence Healthcare | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-08-16 |
| 1215128277 | Providence Healthcare | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-08-06 |
| 1417148461 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-06 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1952592917 | Providence Healthcare | General Acute Care Hospital | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2007-08-06 |
| 1861683823 | Providence Healthcare | General Acute Care Hospital | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2007-08-06 |
| 1497946453 | Providence Healthcare | General Acute Care Hospital | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2007-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Healthcare LLC | 4702 Ardley Drive, Colorado Springs, CO 80922 |
| Oklahoma Business Registrations | PROVIDENCE HEALTHCARE MANAGEMENT, LLC | 202 S Main, Po Box 1009, Gore, OK 74435 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTHCARE OF MS, LLC | 118 Levon Owens Dr, Terry, MS 39170-9696 |
| Street Address |
500 E WEBSTER AVE |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285732602 | Providence Health Care | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-09-20 |
| 1902058399 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1447402839 | Providence Health & Services - Wa | Medicare Defined Swing Bed Unit | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1700038197 | Providence Health & Services - Wa | Skilled Nursing Facility | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-16 |
| 1750532321 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-01 |
| 1336316314 | Providence Physician Services Co | Internal Medicine | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-05-09 |
| 1013181643 | Phyllis Belzer | Dietitian, Registered | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-04-15 |
| 1134317803 | Nellie Lucille Boone | Physician Assistant | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-10-09 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1710192968 | Christine Mcglinchy Hayman | Pharmacist | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285732602 | Providence Health Care | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-09-20 |
| 1750532321 | Providence Health & Services - Wa | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2008-10-01 |
| 1225229289 | Providence Healthcare | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-08-06 |
| 1528154929 | Providence Health Care | General Acute Care Hospital | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157640 | University of Washington | General Acute Care Hospital | 140 W Florentia St Apt C, Seattle, WA 98119-2393 | 2016-07-29 |
| 1396199824 | Seattle Extracorporeal | General Acute Care Hospital | 925 Seneca Street, Seattle Extracorporeal, Seattle, WA 98101 | 2016-04-21 |
| 1487917233 | Peacehealth Peace Island Medical Center | General Acute Care Hospital | 1117 Spring Street, Friday Harbor, WA 98250-7303 | 2012-06-18 |
| 1699914226 | 633 | General Acute Care Hospital | 7244 237th Ave Ne, Redmond, WA 98053-7914 | 2009-02-04 |
| 1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
| 1508911645 | Okanogan Douglas County Hospital Dist 1 | General Acute Care Hospital | 537 West Main, Brewster, WA 98812 | 2007-01-25 |
| 1801944038 | Us Veterns Hospital Pharmacy | General Acute Care Hospital | 611 Sw 1st Ct, Battle Ground, WA 98604-8424 | 2007-01-05 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.