DBA HOLY FAMILY HOSPITAL (PROVIDENCE HEALTH CARE) NPI 1447342373

General Acute Care Hospital in Spokane, WA

NPI 1447342373 Organization General Acute Care Hospital

About DBA HOLY FAMILY HOSPITAL (PROVIDENCE HEALTH CARE)

Dba Holy Family Hospital (providence Health Care) is a provider established in Spokane, Washington specializing in general acute care hospital. The NPI number of Dba Holy Family Hospital (providence Health Care) is 1447342373 and was assigned on September 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Dba Holy Family Hospital. The authorized official of this NPI record is Kevin T Walstrom (Cfo)

NPI

1447342373

Provider NameDBA HOLY FAMILY HOSPITAL (PROVIDENCE HEALTH CARE)
Provider Location Address5633 N LIDGERWOOD ST SPOKANE, WA 99208
Provider Mailing Address5633 N LIDGERWOOD ST SPOKANE, WA 99208
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDBA HOLY FAMILY HOSPITAL
Other Name TypeDoing Business As (3)
Enumeration Date09-28-2006
Last Update Date05-29-2008


Primary Taxonomy

Taxonomy Code282N00000X
ClassificationGeneral Acute Care Hospital
TypeHospitals
Taxonomy DescriptionAn 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.

Business Address

DBA HOLY FAMILY HOSPITAL
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 482-0111
Fax: (509) 482-3052

Get Directions


Mailing Address

DBA HOLY FAMILY HOSPITAL
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 482-0111
Fax: (509) 482-3052



Authorized Official

Authorized Official Name KEVIN T WALSTROM
Authorized Official TitleCFO
Authorized Official Phone(509) 428-2367

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
000381050MEDICARE ID-TYPE UNSPECIFIED (04)WA
3300126MEDICAID (05)WA
9611674MEDICAID (05)WA
500077MEDICARE ID-TYPE UNSPECIFIED (04)WA
000362000MEDICARE ID-TYPE UNSPECIFIED (04)WA
7031719MEDICAID (05)WA

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
1700854510DR. RICHARD DONALD CARPER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5633 N LIDGERWOOD ST HOLY FAMILY HOSPITAL-PHARMACY DEPARTMENT
SPOKANE, WA 99208
(509) 482-2262
1053356212 MARY ANNA CHIU 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
1750492914DR. RANDALL WAYNE PFLUGRAD MD
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1861571804MR. JEFFREY EDWARD NELSON CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1114072279 STANLEY J. MALNAR MD
Individual
Family Medicine5633 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
1245372853 JOHN HUNTER P.A.
Individual
Physician Assistant (Medical)5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1124160742 PAUL D HILL A.R.N.P.
Individual
Nurse Practitioner5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1306988969 RICHARD H SCHADE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 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
1982746699 MICHAEL R TUCCIO P.A.
Individual
Physician Assistant5633 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
1013059880DR. RICHARD W WALKER M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1528100393DR. RANDAL P DEFELICE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1750423539DR. MARK C WHITMAN M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1700928975 MICHAEL FRENCH CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1619019924 CYNTHIA S CAPPELLO CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1407068398MS. PEGGY M ENDRES CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2359

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.