PROVIDENCE ST JOSEPH HOSPITAL
NPI 1700038197
Skilled Nursing Facility in Chewelah, WA

Active since October 16, 2008CLIA 50D0661576 · Accreditation
500 E WEBSTER AVE, CHEWELAH, WA 99109(509) 935-8211(509) 935-5205 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence St Joseph Hospital NPPES

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

PROVIDENCE ST JOSEPH HOSPITAL (NPI 1700038197) is a healthcare organization registered as a skilled nursing facility in Chewelah, Washington and active in the NPI registry since October 2008. The organization holds an CLIA Accreditation certificate valid through April 4, 2028 and lists Dan Goggin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700038197
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WA
Location Address500 E WEBSTER AVEChewelah, WA 99109-9523
Mailing AddressPo Box 197, 500 E WebsterChewelah, WA 99109-0197 · (509) 935-8211 · Fax (509) 935-5205
Fax(509) 935-5205
Organization SubpartNo
Authorized OfficialDan GogginCfo · (509) 474-4899
Enumeration DateOctober 16, 2008
Last NPPES UpdateJanuary 28, 2013
NPI 1700038197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
500 E WEBSTER AVE, Chewelah, WA 99109

Other Names 1

Doing Business AsProvidence St Joseph Hospital

Other Identifiers 1

Medicare OSCAR/certification505354WA

CLIA Laboratory Certificates CMS CLIA

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 50D0661576

Providence St Josephs Hospital · Chewelah, WA
Active · expires Apr 4, 2028
CLIA Number50D0661576
Laboratory TypeHospital
Certificate Effective DateDecember 13, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Georgi M. Pirumyan
Laboratory Phone(509) 935-5245
Laboratory LocationProvidence St Josephs Hospital500 E Webster Ave, Chewelah, WA 99109
CLIA data matches this NPI record on: Address
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.

Other Providers at the Same Location NPPES 7

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

Dietitian, Registered
500 E WEBSTER AVE
CHEWELAH, WA 99109
Physician Assistant (Medical)
500 E WEBSTER AVE
CHEWELAH, WA 99109
Emergency Medicine
500 E WEBSTER AVE
CHEWELAH, WA 99109
Medicare Defined Swing Bed Unit
500 E WEBSTER AVE
CHEWELAH, WA 99109
Pharmacist
500 E WEBSTER AVE
CHEWELAH, WA 99109
General Acute Care Hospital (Critical Access)
500 E WEBSTER AVE
CHEWELAH, WA 99109
General Acute Care Hospital (Critical Access)
500 E WEBSTER AVE
CHEWELAH, WA 99109

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 - Wa's NPI number?

The NPI number for Providence Health & Services - Wa is 1700038197. It was assigned to this organization in the NPPES registry on October 16, 2008. The provider is doing business as Providence St Joseph Hospital.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 500 E Webster Ave, Chewelah, WA 99109. The listed phone number is (509) 935-8211.

What is Providence Health & Services - Wa's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Providence Health & Services - Wa hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 50D0661576) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Wa was last updated on January 28, 2013. 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.