PROVIDENCE ST MARY REHAB (PROVIDENCE HEALTH & SERVICES - WASHINGTON) NPI 1467603282

Rehabilitation Unit in Walla Walla, WA

NPI 1467603282 Organization Rehabilitation Unit CLIA Number 50D0885089 CLIA Certificate of Waiver Hospital Overall Rating

About PROVIDENCE ST MARY REHAB (PROVIDENCE HEALTH & SERVICES - WASHINGTON)

Providence St Mary Rehab (providence Health & Services - Washington) is a hospital serving the Walla Walla, Washington region. The facility is a rehabilitation unit. The NPI number of this hospital is 1467603282 and was assigned on October 2008. The hospital's primary taxonomy code is 273Y00000X with license number H-050 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Providence St Mary Rehab. The authorized official of this NPI record is Mr. Donald W Anderson Jr. (Dir Reimb Reg Strat/asst Sec Enroll)

According to the Hospital Compare program data, Providence St Mary Rehab has an excellent overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 5 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

The CLIA number of Providence St Mary Rehab is 50D0885089 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Providence St Mary Rehab to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1467603282

Provider NamePROVIDENCE ST MARY REHAB (PROVIDENCE HEALTH & SERVICES - WASHINGTON)
Provider Location Address401 W POPLAR ST WALLA WALLA, WA 99362
Provider Mailing AddressPO BOX 1477 WALLA WALLA, WA 99362
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePROVIDENCE ST MARY REHAB
Other Name TypeOther Name (5)
Enumeration Date10-10-2008
Last Update Date12-17-2020


Primary Taxonomy

Taxonomy Code273Y00000X
ClassificationRehabilitation Unit
TypeHospital Units
License No.H-050
License StateWA
Taxonomy DescriptionIn 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.

Business Address

PROVIDENCE ST MARY REHAB
401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5821
Fax: (509) 522-5752

Get Directions


Mailing Address

PROVIDENCE ST MARY REHAB
PO BOX 1477
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5906
Fax: (509) 522-5789



Authorized Official

Authorized Official NameMR. DONALD W ANDERSON JR.
Authorized Official TitleDIR REIMB REG STRAT/ASST SEC ENROLL
Authorized Official Phone(425) 525-5392

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
- 5 out of 5 stars - Excellent
Hospital TypeAcute Care Hospitals - Voluntary non-profit - Private
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - Fewer than 100 patients completed the HCAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess hospital performance.
Safety of Care0 - Fewer than 100 patients completed the HCAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess hospital performance.
Readmission0
Patient Experience8 - Fewer than 100 patients completed the HCAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess hospital performance.
Effectiveness of Care2 - Data suppressed by CMS for one or more quarters.
Timeliness of Care0
Efficient use of Medical Imaging11 - Very few patients were eligible for the HCAHPS survey. The scores shown reflect fewer than 50 completed surveys. Use these scores with caution, as the number of surveys may be too low to reliably assess hospital performance.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1467603282 is:

CLIA Number50D0885089
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

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
008478OTHER (01)WA
3200169MEDICAID (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
1720083686DR. TIMOTHY G CAUDILL MD
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1619972577DR. KURT J SCHLICKER MD
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1467438044DR. JAMES BURATTO M.D.
Individual
Radiology (Diagnostic Radiology)401 W POPLAR ST RADIOLOGY
WALLA WALLA, WA 99362
(509) 522-5790
1528014420 MATTHEW J SACKS MD
Individual
Specialist401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-2220
1124075841MRS. CYNTHIA LYNN RASCH MD
Individual
Internal Medicine401 W POPLAR ST PSMPG HOSPITALISTS
WALLA WALLA, WA 99362
(509) 525-3320
1972517381 JOSEPH F MEYER MD
Individual
Internal Medicine401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-3320
1588678999 DANIEL BYRON MILLER MD
Individual
Emergency Medicine401 W POPLAR ST PSMMC ER
WALLA WALLA, WA 99362
(509) 522-5802
1578577987 MICHAEL S BERNSTEIN MD
Individual
Internal Medicine (Pulmonary Disease)401 W POPLAR ST PULMONARY MEDICINE
WALLA WALLA, WA 99362
(509) 522-5940
1407960339 RENEE M SCHROETLIN MD
Individual
Emergency Medicine401 W POPLAR ST EMERGENCY DEPARTMENT
WALLA WALLA, WA 99362
(509) 522-5802
1720195068 BRADLEY LOYAL JOHNSON MD
Individual
Radiology (Diagnostic Radiology)401 W POPLAR ST RADIOLOGY
WALLA WALLA, WA 99362
(509) 522-5790
1861504029DR. THOMAS P KOEHLER MD
Individual
Internal Medicine401 W POPLAR ST HOSPITALISTS
WALLA WALLA, WA 99362
(509) 522-5145
1457427528ST MARY MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5900
1184761033 PAUL C ZIEVERS MD
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1982746210 KURT L LEINWEBER DO
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1225238207 JARED L WUTZKE M.D.
Individual
Emergency Medicine401 W POPLAR ST PSMMC ER
WALLA WALLA, WA 99362
(509) 522-5802
1124212246THOMAS V MAROLDO, MD
Organization
Specialist401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-2220
1982899266ST. MARY MEDICAL CENTER
Organization
General Acute Care Hospital401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5514
1508053174DR. BENJAMIN HARDWICK LEACH MD
Individual
Internal Medicine401 W POPLAR ST HOSPITALISTS
WALLA WALLA, WA 99362
(509) 522-5145
1225208333MS. SUSAN C. FRIESEN FNP, ARNP
Individual
Nurse Practitioner (Family)401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5802
1669645099 ALISSA N RALSTON ARNP
Individual
Nurse Practitioner401 W POPLAR ST ST. MARY MEDICAL CENTER, CARDIOLOGY SUITE
WALLA WALLA, WA 99362
(509) 522-5731

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.