PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1841442332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841442332 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE MOUNT CARMEL HOSPITAL |
| Practice Address |
982 E Columbia Ave Colville WA 99114-3316 |
| Practice Telephone | 5096842561 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | DAN GOGGIN (CFO) |
| Authorized Official Telephone | 5094744899 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Providence Mount Carmel Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1841503034 | Providence Health & Services - Washington | Family Medicine | 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 | 2010-07-16 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
| 1558512368 | Providence Health & Services - Washington | Home Health | 209 W Poplar St, Walla Walla, WA 99362 | 2008-10-10 |
| 1922259738 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 | 2008-10-10 |
| 1306097126 | Providence Health & Services - Washington | Radiology | 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 | 2008-10-10 |
| 1043374119 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 508 Quarter Eighth Street, Hoquiam, WA 98550 | 2006-12-21 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1003906918 | Providence Health & Services - Washington | Home Health | 3432 Bay Rd Ne, Olympia, WA 98506-2958 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
982 E COLUMBIA AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430464 | Patrick S Markel | Emergency Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2005-10-12 |
| 1093363327 | Nichole Paige Alexander | Pharmacist | 982 E Columbia Ave, Colville, WA 99114-3316 | 2019-08-29 |
| 1295267631 | Klinton Chad Kilgore | Internal Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2017-04-03 |
| 1730568114 | Kyle Rattray | Family Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2015-05-19 |
| 1316264088 | Providence Physician Services Co | Surgery | 982 E Columbia Ave, Colville, WA 99114-3316 | 2010-04-21 |
| 1558598250 | Ashlee Jean Weimar | Emergency Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2009-06-19 |
| 1134371628 | Providence Health & Services - Washington | Medicare Defined Swing Bed Unit | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
| 1003067679 | Providence Health & Services - Washington | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-01 |
| 1578730180 | Providence Physician Services Co | Internal Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-05-13 |
| 1790963874 | Providence Health Care Dba Mt. Carmel Hospital | Nurse Anesthetist, Certified Registered | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| 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 |
|---|---|---|---|---|
| 1003067679 | Providence Health & Services - Washington | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-01 |
| 1841481801 | Providence Healthcare | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2007-08-06 |
| 1932390994 | Providence Healthcare | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2007-08-06 |
| 1821164625 | Mount Carmel Hospital A Division of Dominican Health Services | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2006-11-27 |
| 1881631646 | Providence Health Care | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2006-06-01 |
| 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 | ||||
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - WASHINGTON.
| 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.