PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1902228455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902228455 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Other Organization Name | PROVIDENCE SURGERY AND PROCEDURE CENTER |
| Practice Address |
16528 Desmet Ct Spokane Valley WA 99216-3522 |
| Mailing Address |
101 W 8th Ave Mother Gamelin Center 3rd Floor Spokane WA 99204-2307 |
| Practice Telephone | 5094742072 |
| Mailing Telephone | 5094742072 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | SEAN DOUGLAS (CFO) |
| Authorized Official Telephone | 5094746608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PROVIDENCE SURGERY AND PROCEDURE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1023563897 | Providence Health & Services Washington | Clinic/Center | 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 | 2016-08-22 |
| 1457721250 | Providence Health & Services Washington | Clinic/Center | 1200 Basich Blvd, Aberdeen, WA 98520-1035 | 2015-10-06 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1073744850 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 | 2009-07-28 |
| 1770714693 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 | 2009-07-28 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| Street Address |
16528 DESMET CT |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454411 | Clinton S Hedges | Physician Assistant | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2005-08-17 |
| 1710386818 | Providence Health & Services Washington | Orthopaedic Surgery | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2014-08-14 |
| 1164720488 | Dani L Fergen | Nurse Practitioner | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2011-03-10 |
| 1124259155 | Seyed Ali Gaskari | Internal Medicine | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2009-08-08 |
| 1346440930 | Jason G Ruzicka | Occupational Therapist | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2007-07-20 |
| 1578771853 | David B. Ramey | Psychiatry & Neurology | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2007-05-18 |
| 1063557338 | Liberty L Hoffer | Physician Assistant | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2007-02-21 |
| 1013007822 | Martha Winje | Physician Assistant | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2006-10-13 |
| 1437254075 | Robert A Brenner | Internal Medicine | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2006-09-14 |
| 1376552976 | Bryan Mitchell | Orthopaedic Surgery | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1902864879 | Spokane Surgery Center Ltd Ps | Clinic/Center | 1120 N Pines Road, Spokane Valley, WA 99206 | 2006-05-02 |
| 1548252968 | Foot and Ankle Clinic of Spokane Inc | Clinic/Center | 205 N University Rd Ste 4, Spokane Valley, WA 99206-5094 | 2005-08-22 |
| 1619517539 | Mountain West Derm - Blackhart Pllc | Clinic/Center | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
| 1881065076 | Spokane Oral Surgery Asc | Clinic/Center | 12109 E Broadway Ave Ste C, Spokane Valley, WA 99206-6133 | 2015-10-13 |
| 1750521720 | Spokane Valley Ear Nose & Throat Ps | Clinic/Center | 1424 N. Mcdonald Rd, Suite 102, Spokane Valley, WA 99216 | 2009-03-03 |
| 1023253515 | Rockwood Valley Surgery Center | Clinic/Center | 1414 N Houk Rd, Suite 204, Spokane Valley, WA 99216-1097 | 2008-12-11 |
| 1467637116 | Inland Northwest Surgery Center Pllc | Clinic/Center | 526 N Mullan Rd, Ste. A, Spokane Valley, WA 99206-2408 | 2007-12-31 |
| 1235195132 | Valley Outpatient Surgery Center Lp | Clinic/Center | 1414 N Houk Rd, #204, Spokane Valley, WA 99216-1097 | 2006-04-21 |
| 1710952882 | Advanced Dermatology and Skin Surgery, Pllc | Clinic/Center | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-21 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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.