PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY (NPI# 1962513572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962513572 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO. 1 OF SNOHOMISH COUNTY |
| Other Organization Name | VALLEY GENERAL HOSPITAL SENIOR BEHAVIORAL HEALTH UNIT |
| Practice Address |
14701 179th Ave Se Monroe WA 98272-1108 |
| Practice Telephone | 3607941447 |
| Practice Fax Number | 3607941486 |
| Mailing Telephone | 3607941447 |
| Mailing Fax Number | 3607941486 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MR. MARK JUDY (CEO) |
| Authorized Official Telephone | 3607941447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H-104 | WA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7034564 | 05 |
| Other Name | Type Code |
|---|---|
| Valley General Hospital Senior Behavioral Health Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801960034 | Public Hospital District No. 1 of Snohomish County | Clinic/Center | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2006-11-20 |
| Street Address |
14701 179TH AVE SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828813 | Michael E Dorney | Internal Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2005-08-12 |
| 1811500887 | Jennifer J Walters | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-08-28 |
| 1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
| 1336786649 | Lauren Keanna Jensen | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-12-05 |
| 1578129136 | Yoko Louise Criner | Occupational Therapist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-05-18 |
| 1770147431 | Kari Riedman | Dietitian, Registered | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-04-29 |
| 1215498795 | Walter Fasch | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-03-27 |
| 1356834386 | Sarah Katherine Megahee | Physical Therapist | 14701 179th Ave Se, Monroe, WA 98272 | 2018-06-13 |
| 1447789573 | Crystal Bae | Emergency Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2017-06-12 |
| 1629529599 | Sei-jung Lee | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2016-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761151 | Brfhh Monroe LLC | Psychiatric Unit | 4864 Jackson St, Monroe, LA 71202-6400 | 2013-11-14 |
| 1497189542 | Brfhh Monroe, LLC | Psychiatric Unit | 4864 Jackson St, Monroe, LA 71202-6400 | 2013-08-26 |
| 1366504334 | St. Francis North Behavioral Health Unit | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-12-15 |
| 1124109061 | St. Francis Medical Center, Inc | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-10-18 |
| 1336246784 | Mercy Memorial Hospital Corporation | Psychiatric Unit | 718 N Macomb St, Monroe, MI 48162-7815 | 2006-09-20 |
| 1265536361 | Brfhh Monroe LLC | Psychiatric Unit | 4864 Jackson St, Hospital Administration, Monroe, LA 71202-6400 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053626465 | Swedish Edmonds | Psychiatric Unit | 21601 76th Ave W., Edmonds, WA 98026-2100 | 2010-08-10 |
| 1316043961 | Roberta Theresa Nugent | Psychiatric Unit | American Lake Va Hospital, Tacoma, WA 98493-0001 | 2006-09-14 |
| 1497757207 | County of Pierce | Psychiatric Unit | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2005-08-11 |
| 1841741311 | Multicare Health System | Psychiatric Unit | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2016-10-20 |
| 1336699388 | Swedish Health Services | Psychiatric Unit | 747 Broadway, Seattle, WA 98122-4379 | 2016-10-13 |
| 1902355654 | Swedish Health Services | Psychiatric Unit | 5300 Tallman Ave Nw, Floor 4 North, Seattle, WA 98107-3932 | 2016-09-22 |
| 1871724690 | Saint Clare Hospital | Psychiatric Unit | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2009-07-28 |
| 1457588386 | Public Hospital Dist No 1 Skagit | Psychiatric Unit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2009-06-18 |
| 1639320484 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204-2307 | 2008-10-09 |
| 1144471715 | Providence Health & Services - Wa | Psychiatric Unit | 101 W 8th Ave, Spokane, WA 99204 | 2008-10-01 |
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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.