PROVIDENCE HEALTH & SERVICES-OREGON (NPI# 1962844241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962844241 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES-OREGON |
| Other Organization Name | PROVIDENCE BENEDICTINE HOSPICE |
| Practice Address |
580 S Main St Mount Angel OR 97362-9540 |
| Mailing Address |
Po Box 2724 Portland OR 97208-2724 |
| Practice Telephone | 5038452463 |
| Practice Fax Number | 5038452716 |
| Mailing Telephone | 5032154601 |
| Mailing Fax Number | 5032154624 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | MS. EMILY DAZEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5038452762 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES-OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Providence Benedictine Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811384423 | Providence Health & Services-oregon | Case Management | 4900 Ne Glisan St, Portland, OR 97213-2936 | 2015-04-21 |
| 1073896551 | Providence Health & Services-oregon | Radiologic Technologist | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2011-09-21 |
| 1205119781 | Providence Health & Services-oregon | Radiologic Technologist | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2011-09-21 |
| 1558689653 | Providence Health & Services-oregon | Clinic/Center | 830 Ne 47th Ave, Attn: Finance, Portland, OR 97213-2212 | 2010-05-13 |
| 1124343215 | Providence Health & Services-oregon | Clinic/Center | 830 Ne 47th Ave, Attn: Dental Clinic, Portland, OR 97213-2212 | 2010-03-31 |
| 1376625137 | Providence Health & Services-oregon | Skilled Nursing Facility | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-20 |
| Street Address |
580 S MAIN ST |
| City | MOUNT ANGEL |
| State | OR |
| Zip Code | 97362-9540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912321308 | Michael John Petracci | Chiropractor | 690 N Main St, Mount Angel, OR 97362 | 2014-02-06 |
| 1215230651 | Jess Ransom Miller | Family Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2010-12-07 |
| 1669691721 | Heidi Margarita Abreu Pacheco | Internal Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2007-04-25 |
| 1750630695 | Amy Roth | Occupational Therapist | 540 S. Main St, Mt. Angel, OR 97362-0000 | 2012-09-06 |
| 1356989271 | Brittany Micaela Curths | Behavior Technician | 315 S Pershing St, Mount Angel, OR 97362-9508 | 2019-12-11 |
| 1942268354 | Faith L. Koschmann | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-03 |
| 1760801310 | Foundations Health and Wellness Center LLC | Chiropractor | 690 N Main St, Mount Angel, OR 97362-9518 | 2014-04-10 |
| 1972644250 | Charles D Hyde | Nurse Practitioner | 690 N Main St, Mount Angel, OR 97362-9518 | 2007-02-09 |
| 1437107083 | James Edward Domst | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| 1962450551 | Mayda Ramos | Internal Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| Find all providers in zip 97362 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
| 1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
| 1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
| 1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
| 1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ANGEL |
| Zip Code | 97362 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES-OREGON.
| 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.