PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1003006008

Case Manager/Care Coordinator in Spokane, WA

About PROVIDENCE HEALTH & SERVICES - WASHINGTON

Providence Health & Services - Washington is a provider in Spokane, WA. The NPI number assigned to this provider is 1003006008. The practitioner's primary taxonomy code is Case Manager/Care Coordinator (171M00000X). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Holy Family Maternity Support Services.

NPI1003006008 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Provider Location Address5633 N LIDGERWOOD ST SPOKANE, WA 99208 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address910 N WASHINGTON ST SUITE 209 SPOKANE, WA 99201 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameHOLY FAMILY MATERNITY SUPPORT SERVICES Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date07-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-11-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PROVIDENCE HEALTH & SERVICES - WASHINGTON
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 482-0111
Fax: (509) 482-2456
Get Directions

Mailing Address

PROVIDENCE HEALTH & SERVICES - WASHINGTON
910 N WASHINGTON ST
SUITE 209
SPOKANE, WA
ZIP 99201
Phone: (509) 232-1173
Fax: (509) 232-1196

Primary Taxonomy

Taxonomy Code171M00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCase Manager/Care Coordinator
TypeOther Service Providers
License No.H139
License StateWA
Taxonomy DescriptionA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Authorized Official

Authorized Official Name DIANE HASSELBLAD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBUSINESS OFFICE SUPERVISOR
Authorized Official Phone(509) 464-7107

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1282N00000XHospitalsGeneral Acute Care HospitalH 139WANo

Taxonomy Description: an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7401045MEDICAID (05)WA
500077MEDICARE OSCAR/CERTIFICATION (06)

Map Location


PROVIDENCE HEALTH & SERVICES - WASHINGTON address is 5633 N LIDGERWOOD ST SPOKANE, WA 99208

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003888108 THOMAS D DEA PA-C
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2460
1013059880DR. RICHARD W WALKER M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1053356212 MARY ANNA CHIU M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1114072279 STANLEY J. MALNAR MD
Individual
Family Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1124160742 PAUL D HILL A.R.N.P.
Individual
Nurse Practitioner5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1154463727 GORDON HOFFNAGLE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1174665913DR. GARY G GULARTE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1184736407DR. BARDOMIANO SANCHEZ JR.
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1245372853 JOHN HUNTER P.A.
Individual
Physician Assistant (Medical)5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1306988969 RICHARD H SCHADE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1336187806MR. DONALD JAMES RAY CRNA, MAE
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2225
1447342373PROVIDENCE HEALTH CARE
Organization
General Acute Care Hospital5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1528113768 BRETT E. ENLOW MD
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1700854510DR. RICHARD DONALD CARPER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5633 N LIDGERWOOD ST HOLY FAMILY HOSPITAL-PHARMACY DEPARTMENT
SPOKANE, WA 99208
(509) 482-2262
1720165160MR. LYNN A PETERSON MSN, CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2122
1750492914DR. RANDALL WAYNE PFLUGRAD MD
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1861471385 TODD EWERT MD
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1861571804MR. JEFFREY EDWARD NELSON CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1871609958 CAREY YUEN MD
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1982746699 MICHAEL R TUCCIO P.A.
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069