Columbia Capital Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H197 Issued in WA

Legal business name

COLUMBIA CAPITAL MEDICAL CENTER

Doing business as

Capital Medical Center

Practice address

3900 Capital Mall Dr SW
Olympia, WA 98502

Phone

(360) 754-5858

Fax

(360) 956-2574

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Anderson

Title

Chief Financial Officer

Phone

(360) 704-4761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capital Medical Center Doing business as

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487690517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CAPITAL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-5858",
            "fax_number": "360-956-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CAPITAL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-5858",
            "fax_number": "360-956-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CAPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-704-4761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "H197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505490",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Collins-Wolaver
• Brittney N Collins
• Kaitlyn Collins
• Marissa Justine Collins, MS, LMHC, NCC
• Rebecca Alician Collins, FNP-C
• Columbia Capital Medical Center LP (Capital Medical Center)
• Columbia Capital Medical Center, LP (Capital Medical Center)
• Rebecca A Combs, LMP
• Kelly Lynn Comeau
• Kenneth Douglas Common, O.D.

• General Acute Care Hospital in Olympia, WA
• Providers in Olympia, WA by specialty
• General Acute Care Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.