NPIMap

Organization Active NPI

University of Washington

  • Rehabilitation Hospital Unit
  • Seattle, WA
National Provider Identifier
1245330281
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H-128 Issued in WA
Legal business name
UNIVERSITY OF WASHINGTON
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 598-4295
Fax
(206) 598-4838
NPI assigned
Sep 22, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia J. Hecker
Title
Chief Executive Officer
Phone
(206) 668-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H-128 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

PO Box 24366
Seattle, WA 98124-0366
Phone (206) 598-0502

Other names 1

  • University of Washington Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000820 WA Part A Provider - Hospital 3274445150 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA

Hospital certification: CCN 50T008

Legal name
UNIVERSITY OF WASHINGTON
Doing business as
UNIVERSITY OF WASHINGTON MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
1959 NE Pacific St
Seattle, WA 98195-1111
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
University of Washington Med CtrCCN 50T008
Ownership
Government
Certified
Jul 1, 1984

National Provider Directory

National Provider Directory
Part of
Scca-Oral Medicine

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthia Hecker Individual Corporate DirectorExecutive Director Oct 15, 2018
W-2 Managing EmployeeExecutive Director Oct 15, 2018
University of Washington Organization, Seattle, WA Operational/Managerial Control Nov 27, 2007 100%
Jacqueline L. Cabe Individual Corporate OfficerChief Financial Officer Mar 1, 2016
W-2 Managing EmployeeChief Financial Officer Mar 1, 2016
Matthew Lund Individual Corporate OfficerChief Contracting Officer Jan 1, 2022
W-2 Managing EmployeeChief Contracting Officer Dec 1, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1245330281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24366",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240366",
            "telephone_number": "206-598-0502",
            "fax_number": "206-598-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-4295",
            "fax_number": "206-598-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WASHINGTON",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-668-2774"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "WA",
            "license": "H-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd Ste 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "University of Washington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Washington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.