PEACEHEALTH (NPI# 1760427082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760427082 |
Entity Type | Organization |
Organization Name | PEACEHEALTH |
Other Organization Name | KETCHIKAN MEDICAL CENTER HOME HEALTH |
Practice Address |
126 Washington St Ketchikan AK 99901-5930 |
Mailing Address |
Po Box 1798 Bellingham WA 98227-1798 |
Practice Telephone | 9072258914 |
Practice Fax Number | 9072478914 |
Mailing Telephone | 3607345400 |
Mailing Fax Number | 3607156552 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2012-01-12 |
Authorized Official Name | PATRICK J. BRANCO (CEO) |
Authorized Official Telephone | 9072288300 |
Is Organization Subpart | Y |
Parent Organization Name | KETCHIKAN MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | NO NUMBER ASSIGN | AK | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | HH5794 | 05 |
Other Name | Type Code |
---|---|
Ketchikan Medical Center Home Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255977591 | Peacehealth | Durable Medical Equipment & Medical Supplies | 625 9th Ave Ste 120, Longview, WA 98632-2465 | 2019-11-21 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1669766457 | Peacehealth | General Acute Care Hospital | 787 Woodland Acres Ln, Eugene, OR 97402-9378 | 2011-06-09 |
1912957986 | Peacehealth | Clinical Medical Laboratory | 123 International Way, Springfield, OR 97477-1047 | 2006-05-11 |
1083672273 | Peacehealth | Rehabilitation Unit | 809 E Chestnut St, Bellingham, WA 98225-5221 | 2006-05-04 |
1447217559 | Peacehealth | Hospice, Inpatient | 2800 Douglas Avenue, Bellingham, WA 98225 | 2006-05-01 |
1215918719 | Peacehealth | Hospice Care, Community Based | 2230 Kingwood Street, Florence, OR 97439-9470 | 2005-11-10 |
1225019011 | Peacehealth | Home Health | 2230 Kingwood St, Florence, OR 97439-9464 | 2005-11-08 |
1346237971 | Peacehealth | General Acute Care Hospital | 1255 Hilyard St, Eugene, OR 97401-3718 | 2005-09-29 |
1689677320 | Peacehealth | General Acute Care Hospital | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2005-05-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PEACEHEALTH | 1115 Se 164th Avenue, Vancouver, WA 98683-9324 |
Washington State Corporations | PEACEHEALTH | 1115 Se 164th Ave Dept. 302, Vancouver, WA 98683 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH - COTTAGE GROVE | 1515 Village Dr, Cottage Grove, OR 97424 |
Washington State Corporations | PEACEHEALTH ASC BELLINGHAM, LLC | 1115 Se 164th Ave, Dept 302, Vancouver, WA 98683-9324 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | 1515 Village Dr, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER FOUNDATION | 1515 Village Dr, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER SWING | 1515 Village Drive, Cottage Grove, OR 97424 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH HOSPITAL MEDICINE | 3333 Riverbend Dr, Springfield, OR 97477 |
Oregon Corporations, Companies and Business Names | PEACEHEALTH LABORATORIES | 123 International Way, Springfield, OR 97477 |
Street Address |
126 WASHINGTON ST |
City | KETCHIKAN |
State | AK |
Zip Code | 99901-5930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750929014 | Akeela Inc | Substance Abuse Rehabilitation Facility | 126 Washington St, Ketchikan, AK 99901-5954 | 2019-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
Find all providers in zip 99901 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093998163 | Community Connections | Home Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417434150 | Shannon L Mckenzie | Home Health | 3913 Lynn Dr, Anchorage, AK 99508-5745 | 2018-07-25 |
1578065793 | Aderonke Akindipe Fnp LLC | Home Health | 2942 Gladys Marie Cir # Q, Anchorage, AK 99516-1407 | 2018-03-03 |
1952815706 | Southeast Alaska Regional Health Consortium | Home Health | 814 Halibut Point Rd Ste 202, Sitka, AK 99835-7101 | 2017-11-30 |
1609311430 | Shine Bright Care, LLC | Home Health | 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 | 2017-01-03 |
1639521214 | Shine Bright Care | Home Health | 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 | 2016-07-07 |
1023493269 | Wellspring Home Health Center, LLC | Home Health | 201 E. Swanson Avenue, Suite 7, Wasilla, AK 99654 | 2015-07-29 |
1336540624 | Alaskan Home Health, Inc | Home Health | 9191 Old Seward Hwy Ste 19a, Anchorage, AK 99515-2040 | 2014-09-06 |
1992105787 | Immediate Care Inc. | Home Health | 4851 E Blue Lupine Dr, Suite B, Wasilla, AK 99654-8411 | 2014-08-28 |
1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
1700207701 | Hearts & Hands of Care | Home Health | 1401 S Seward Meridian Pkwy, Suite A & B, Wasilla, AK 99654-8312 | 2013-12-18 |
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.