PROVIDENCE ST. PETER HOSPITAL
NPI 1407964133
Rehabilitation Unit in Olympia, WA

Active since August 25, 2006CLIA Certified · 2 labs
413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480(360) 493-5858 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2018, May 25, 2017 (2 updates tracked since 2017).

About Providence St. Peter Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE ST. PETER HOSPITAL (NPI 1407964133) is a healthcare organization registered as a rehabilitation unit in Olympia, Washington and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Donald Anderson, Asst Corp Sec For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1407964133
Entity TypeOrganization
Primary Taxonomy273Y00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing AddressPo Box 3505Portland, OR 97208-3505 · (360) 491-9480 · Fax (360) 493-4277
Fax(360) 493-5858
Organization SubpartNo
Authorized OfficialDonald AndersonAsst Corp Sec For Enrollments · (425) 525-5392
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 21, 20182 updates tracked since enumeration
NPI 1407964133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation UnitHospital Units
Taxonomy Code273Y00000X
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
413 LILLY RD NE, Olympia, WA 98506

Other Names 1

Doing Business AsProvidence St. Peter Hospital

Other Identifiers 3

OtherST0232WA · Regence
Medicaid3302601WA
MedicaidHS60IPAL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 50D0636949

Providence St Peter Hospital Laboratory · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0636949
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Dominique P. Coco
Laboratory Phone(360) 493-7578
Laboratory LocationProvidence St Peter Hospital Laboratory413 Lilly Rd NE, Olympia, WA 98506
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 50D2256234

Providence St Peter Hospital Mobile Health Clinic · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2256234
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKari Lima
Laboratory Phone(360) 515-5646
Laboratory LocationProvidence St Peter Hospital Mobile Health Clinic413 Lilly Rd NE, Olympia, WA 98506
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Nurse Practitioner
413 LILLY RD NE
OLYMPIA, WA 98506
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, MSDDH09
OLYMPIA, WA 98506
Social Worker (Clinical)
413 LILLY RD NE
OLYMPIA, WA 98506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1407964133. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Providence St. Peter Hospital.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Rehabilitation Unit with taxonomy code 273Y00000X.

Does Providence Health & Services Washington hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.