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PROVIDENCE
NPI 1417209628
General Acute Care Hospital - Children in Spokane, WA

Active since October 11, 2012CLIA Certified · 10 labs
101 W 8TH AVENUE, PROVIDENCE HOSPITAL, SPOKANE, WA 99204(509) 474-3131 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence NPPES

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

PROVIDENCE (NPI 1417209628) is a healthcare organization registered as a children in Spokane, Washington and active in the NPI registry since October 2012. The organization holds 10 active CLIA laboratory certificates and lists Chris Hrycenko, Finance, as its authorized official.

NPPES Registry Identity

NPI1417209628
Entity TypeOrganization
Primary Taxonomy282NC2000X
Legal Business NamePROVIDENCE
Location Address101 W 8TH AVENUE, PROVIDENCE HOSPITALSpokane, WA 99204-2307
Mailing Address101 W 8th Avenue, Providence HospitalSpokane, WA 99204-2307 · (509) 474-3131
Phone(509) 474-3131
Organization SubpartNo
Authorized OfficialChris HrycenkoFinance · (509) 474-3131
Enumeration DateOctober 11, 2012
✔ NPI 1417209628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License✔ Licensed in WA · 17440000000X
101 W 8TH AVENUE, Spokane, WA 99204
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 10

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 50D0661616

Providence Sacred Heart Med Ctr & Children's Hospital Lab Department Of Laboratory Medicine · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0661616
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Allison M. Young
Laboratory Phone(509) 474-4416
Laboratory LocationProvidence Sacred Heart Med Ctr & Children's Hospital Lab Department Of Laboratory Medicine101 W 8th Ave, Spokane, WA 99204
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 50D1028351

Providence Medical Group - Pediatric Specialty · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D1028351
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLedel Jan Ramos
Laboratory Phone(509) 474-2880
Laboratory LocationProvidence Medical Group - Pediatric Specialty101 W 8th Ave Ste 100 L-1, Spokane, WA 99204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2156943

Providence Gynecologic Oncology, Surgical, And Medical Gynecology · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2156943
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDaniel Zwiesler
Laboratory Phone(509) 474-6647
Laboratory LocationProvidence Gynecologic Oncology, Surgical, And Medical Gynecology101 W 8th Ave Ste 1300, 1400, Spokane, WA 99204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D2041258

Providence Pediatric Nephrology · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2041258
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLedel Jan Ramos
Laboratory Phone(509) 340-0930
Laboratory LocationProvidence Pediatric Nephrology105 W 8th Ave Ste 150E, Spokane, WA 99204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2107240

Providence Medical Group - Kidney Care · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2107240
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVijay A. Reddy
Laboratory Phone(509) 340-0930
Laboratory LocationProvidence Medical Group - Kidney Care105 W 8th Ave Ste 7030, Spokane, WA 99204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D2170088

Providence Dental Residency Spokane · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2170088
Laboratory TypeDental
Certificate Effective DateAugust 1, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLedel Jan Ramos
Laboratory Phone(509) 474-7491
Laboratory LocationProvidence Dental Residency Spokane105 W 8th Ave Ste 123C, Spokane, WA 99204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DANA MICHELLE BROWN CRNA
Nurse Anesthetist, Certified Registered
101 W 8TH AVENUE, PMG
SPOKANE, WA 99204
Spokane County (509) 474-3131
PRESTON JAMES RADFORD LICSW
Social Worker (Clinical)
101 W 8TH AVENUE
SPOKANE, WA 99204
Spokane County (509) 474-6920

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's NPI number?

The NPI number for Providence is 1417209628. It was assigned to this organization in the NPPES registry on October 11, 2012.

Where is Providence located?

Providence is located at 101 W 8th Avenue Providence Hospital, Spokane, WA 99204. The listed phone number is (509) 474-3131.

What is Providence's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

Does Providence hold CLIA laboratory certificates?

Yes. 10 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.

When was this NPI record last updated?

The NPPES record for Providence was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.