PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1881681518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881681518 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE ELDERPLACE |
| Practice Address |
4515 Martin Luther King Jr Way S Suite 100 Seattle WA 98108-2182 |
| Mailing Address |
2001 Lind Ave Sw Suite 160 Renton WA 98057-3303 |
| Practice Telephone | 2063205325 |
| Practice Fax Number | 2067606339 |
| Mailing Telephone | 2063205325 |
| Mailing Fax Number | 2067606339 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | ELLEN GARCIA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063205325 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Providence ElderPlace | 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 |
4515 MARTIN LUTHER KING JR WAY S SUITE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669822888 | Claire Ellis | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2016-06-18 |
| 1487019329 | Elizabeth Schultz | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2015-12-18 |
| 1770905564 | Ann Marie Mosbacher | Nurse Practitioner | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2014-01-13 |
| 1609118496 | Yan Chen | Internal Medicine | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2013-03-20 |
| 1164763611 | Rachel C Epstein | Registered Nurse | 4515 Martin Luther King Jr Way S, Suite 100, Seattle, WA 98108-2182 | 2013-03-08 |
| 1992052559 | Barbara A Bertucio | Physical Therapist | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-13 |
| 1215284039 | Celia Jensen | Dietitian, Registered | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-10 |
| 1740537570 | Brenda Arleen Carlock | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2012-08-10 |
| 1609123421 | John A Stewart | Registered Nurse | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-10 |
| 1184971954 | Yvonne Guerin | Registered Nurse | 4515 Martin Luther King Jr Way S, Stuite 100, Seattle, WA 98108-2182 | 2012-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346664588 | Fullcircle | Exclusive Provider Organization | 106 Madrona Pl E, Seattle, WA 98112-5010 | 2014-02-07 |
| 1801912373 | Community Home Care, LLC | Exclusive Provider Organization | 7136 Martin Luther King Jr Way S Ste 201, Seattle, WA 98118-3526 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891233243 | Massage Rocks | Exclusive Provider Organization | 25525 27th Ave Ne, Arlington, WA 98223-7613 | 2017-02-06 |
| 1972959112 | Kelsey Weiland Lmp | Exclusive Provider Organization | 5358 33rd Ave Nw, Gig Harbor, WA 98335-1773 | 2016-05-06 |
| 1073971933 | Pioneer Counseling Tacoma | Exclusive Provider Organization | 758 St. Helens, Tacoma, WA 98405 | 2016-02-08 |
| 1457723587 | A Renewal Center LLC | Exclusive Provider Organization | 401 Olympia Ave Ne Ste 318, Renton, WA 98056-4117 | 2015-10-28 |
| 1881077261 | Rosewater Healing Arts and Massage | Exclusive Provider Organization | 213 Bendigo Blvd N Ste 3, North Bend, WA 98045-8259 | 2015-07-03 |
| 1457746836 | Compassionate Counselor | Exclusive Provider Organization | 16306 126th Ave Ne, Woodinville, WA 98072-7969 | 2015-04-01 |
| 1205230489 | Mazimo Azucena Afh | Exclusive Provider Organization | 10522 19th Pl W, Everett, WA 98204-3663 | 2014-10-16 |
| 1740607936 | Personal Best Services LLC | Exclusive Provider Organization | 29222 54th Pl S, Auburn, WA 98001-2157 | 2014-03-25 |
| 1285895730 | Everett Heritage Court | Exclusive Provider Organization | 4230 Colby Ave, Everett, WA 98203-2312 | 2008-06-18 |
| 1316118177 | United Nw Recovery Center Inc. | Exclusive Provider Organization | 605 Sunset Park Dr Ste B, Sedro Woolley, WA 98284-1589 | 2008-03-19 |
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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.