PROVIDENCE HEALTH & SERVICES


Address: 700 W Ironwood Dr, Suite 350, Coeur D Alene, ID 83814-2656
Phone: 2086769913

PROVIDENCE HEALTH & SERVICES (NPI# 1689977159) 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) 1689977159
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES
Other Organization Name PROVIDENCE SPOKANE HEART INSTITUTE-COEUR D'ALENE
Practice Address 700 W Ironwood Dr
Suite 350
Coeur D Alene
ID 83814-2656
Mailing Address Po Box 3776
Seattle
WA 98124-3776
Practice Telephone 2086769913
Practice Fax Number 2086660885
Mailing Telephone 4255256715
Mailing Fax Number 4255256700
Enumeration Date 2010-12-06
Last Update Date 2010-12-06
Authorized Official Name KAREN DUNCAN (SR DIRECTORY OF REVENUE CYCLE MNGMT)
Authorized Official Telephone 4252545362
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Providence Spokane Heart Institute-Coeur D'Alene Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609322528 Providence Health & Services In Home Supportive Care 110 S. Third Street E., Chewelah, WA 99109 2016-08-31
1811201312 Providence Health & Services Internal Medicine 715 S Washington, Suite A, Moscow, ID 83843-0000 2010-07-27
1720391659 Providence Health & Services Internal Medicine 629 Jasmine St, Omak, WA 98841 2010-07-20
1114230042 Providence Health & Services Internal Medicine 318 E Rowan Ave, 240, Spokane, WA 99207-1200 2010-07-20
1154539203 Providence Health & Services Internal Medicine 1510 Division St Ste 200, Oregon City, OR 97045-1599 2007-05-21
1780742114 Providence Health & Services Internal Medicine 1515 Portland Rd, Newberg, OR 97132-1844 2006-12-05
1831639731 Providence Health & Services Home Health Aide 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 2017-02-27
1093056632 Providence Health & Services General Acute Care Hospital 6801 Coldwater Canyon Ave, Suite 1a, North Hollywood, CA 91605-5162 2013-03-06
1245544584 Providence Health & Services Internal Medicine 1550 S Pioneer Way, Pioneer Medical Center #250, Moses Lake, WA 98837-4613 2010-07-28
1457665945 Providence Health & Services Internal Medicine 701 Lewiston Street, Cottonwood, ID 83522-0000 2010-07-27

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES 1801 Lind Ave Sw #9016, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES 1801 Lind Ave Sw #9016, Renton, WA 98057
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES - MONTANA 1801 Lind Ave Sw, Renton, WA 98057
Colorado Business Entities Providence Health & Services - Montana Dept of Legal Affairs, 1801 Lind Ave. Sw, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES - MONTANA 1801 Lind Ave Sw, Renton, WA 98057-3368
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

Office Location

Street Address 700 W IRONWOOD DR
SUITE 350
City COEUR D ALENE
State ID
Zip Code 83814-2656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699771451 Ronald J Stout Otolaryngology 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 2005-06-24
1033635180 Jamie Lee Park Pharmacist 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 2017-08-21
1063944726 Mandi Nordhagen Pharmacist 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 2017-03-31
1679004675 Jamie Cervi-skinner Pharmacist 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 2017-03-22
1982144424 Carissa Hober Pharmacist 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 2017-03-02
1861939910 Kellie Kathryn Breaux Nurse Practitioner 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 2017-01-27
1902348709 Michael Watrobka Physician Assistant 700 W Ironwood Dr, Suite 120e, Coeur D Alene, ID 83814-2656 2016-11-09
1841748530 Elizabeth St John Physician Assistant 700 W Ironwood Dr, Ste 341, Coeur D Alene, ID 83814-2656 2016-09-12
1184076465 Craig Allred Audiologist 700 W Ironwood Dr, Ste 278, Coeur D Alene, ID 83814-2656 2016-07-11
1962869008 Natalie Jeane Bartell Nurse Practitioner 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 2016-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104824150 Robert J Burnett Thoracic Surgery (Cardiothoracic Vascular Surgery) 2003 Kootenai Health Way, Ste 300, Coeur D Alene, ID 83814-6051 2005-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003131509 Andrew Lee Mesher Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 N 1st St Ste 280, Boise, ID 83702-6132 2010-03-29
1063435899 Charles S Needham Thoracic Surgery (Cardiothoracic Vascular Surgery) 3242 S Woodruff Ave, Idaho Falls, ID 83404-8305 2006-07-25
1447202726 Cardiovascular & Chest Surgical Associates, Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 N. 1st St., #280, Boise, ID 83702 2006-05-16
1528010857 S. Kirby Orme Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 N. 1st St. #280, Boise, ID 83702 2006-05-16
1013977297 Edward R Setser Thoracic Surgery (Cardiothoracic Vascular Surgery) 3200 Channing Way, Idaho Falls, ID 83404-7546 2006-03-23
1093705030 Scott R Hiatt Thoracic Surgery (Cardiothoracic Vascular Surgery) 1524 12th Ave Rd, Nampa, ID 83686-6008 2005-10-21
1467053090 C Scott Needham Md Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 2805 Valencia Dr, Idaho Falls, ID 83404-7597 2020-11-02
1568731925 St Lukes Regional Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 3399 E Louise Dr, Ste 400, Meridian, ID 83642-5047 2011-12-14
1376858878 East Falls Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 2860 Channing Way, Ste 112, Idaho Falls, ID 83404-7532 2010-08-10
1831355957 Benedict James Winston Taylor Thoracic Surgery (Cardiothoracic Vascular Surgery) 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 2008-07-29
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Competitor

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City COEUR D ALENE
Zip Code 83814

Improve Information

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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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