PROVIDENCE HEALTH & SERVICES (NPI# 1811200603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200603 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES |
| Other Organization Name | PROVIDENCE SPOKANE HEART INSTITUTE-LIBBY CLINIC |
| Practice Address |
211 E 2nd St Libby MT 59923-2047 |
| Mailing Address |
Po Box 3776 Seattle WA 98124-3776 |
| Practice Telephone | 5098387711 |
| Mailing Telephone | 4255256798 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-11-08 |
| Authorized Official Name | KAREN DUNCAN (SR. DIRECTOR OF REVENUE CYCLE MGT.) |
| Authorized Official Telephone | 4252545362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Spokane Heart Institute-Libby Clinic | Doing Business As Name - Organization |
| 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 |
| 1689977159 | Providence Health & Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 W Ironwood Dr, Suite 350, Coeur D Alene, ID 83814-2656 | 2010-12-06 |
| 1245544584 | Providence Health & Services | Internal Medicine | 1550 S Pioneer Way, Pioneer Medical Center #250, Moses Lake, WA 98837-4613 | 2010-07-28 |
| 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 |
| Street Address |
211 E 2ND ST |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306818034 | Libby Clinic | Clinic/Center | 211 E 2nd St, Libby, MT 59923 | 2006-02-06 |
| 1437640133 | Robert J O'rourke | Physician Assistant | 211 E 2nd St, Libby, MT 59923-2094 | 2018-05-29 |
| 1356857825 | Adrianne Claire Joanne Roddy | Nurse Practitioner | 211 E 2nd St, Libby, MT 59923-2047 | 2017-12-20 |
| 1558735688 | Belinda Wise | Nurse Practitioner | 211 E 2nd St, Libby, MT 59923-2047 | 2015-12-01 |
| 1437540507 | Spokane Vamc | Clinic/Center | 211 E 2nd St, Libby, MT 59923-2047 | 2015-02-11 |
| 1700284486 | Cheryl Gourley | Physician Assistant | 211 E 2nd St, Libby, MT 59923-2047 | 2014-12-12 |
| 1477840155 | Lincoln County Community Health Center, Inc | Clinic/Center | 211 E 2nd St, Libby, MT 59923-2047 | 2011-07-01 |
| 1518144260 | Severine Mia Clemence Basham | Physician Assistant | 211 E 2nd St, Libby, MT 59923-2047 | 2008-01-24 |
| 1487620902 | Peter Kitts | Nurse Practitioner | 211 E 2nd St, Libby, MT 59923 | 2006-02-24 |
| 1477529998 | Gregory A Rice | Family Medicine | 211 E 2nd St, Libby, MT 59923 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003157868 | Big Sky Heart Pllc | Internal Medicine | 2900 12th Ave N Ste 301e, Billings, MT 59101-7504 | 2013-03-04 |
| 1932460763 | Matthew Cortright Weiss | Internal Medicine | 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804-7408 | 2012-06-07 |
| 1417230855 | Puneet Victor Bansal | Internal Medicine | 1101 25th St S, Great Falls, MT 59405 | 2011-09-22 |
| 1538394267 | Providence Health & Services Mt | Internal Medicine | 435 S Crystal St Ste 240, Butte, MT 59701-1523 | 2009-05-26 |
| 1467657965 | Montana Cardiac Institute | Internal Medicine | 401 S Alabama St Ste 9, Butte, MT 59701-2358 | 2007-06-15 |
| 1700093846 | Richard Dean Tenney | Internal Medicine | 308 S Bozeman Ave, Bozeman, MT 59715-4809 | 2007-05-17 |
| 1710020029 | Glacier Cardiovascular Consultants | Internal Medicine | 711 E 13th Street, Whitefish, MT 59937 | 2007-02-15 |
| 1861540593 | Daniel R Walker | Internal Medicine | 2510 Bobcat Way, Great Falls, MT 59405-5169 | 2007-01-08 |
| 1972665503 | Caring Hearts of The Rockies PC | Internal Medicine | 350 Heritage Way Suite 2100, Kalispell, MT 59901 | 2006-12-13 |
| 1477581916 | Philip A. Roper | Internal Medicine | 601 W Spruce St Ste A, Missoula, MT 59802-4047 | 2006-06-30 |
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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.