Active NPI
Providence Health & Services - Oregon
Doing business as Providence Seaside Hospital
- Skilled Nursing Facility
- Seaside, OR
National Provider Identifier
1649344466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Doing business as
- Providence Seaside Hospital
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 717-7000
- NPI assigned
- Nov 20, 2006
- Last updated
- Sep 26, 2011
- Organization subpart
- Yes
- Parent organization
- PROVIDENCE HEALTH & SERVICES - OREGON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen Dowling
- Title
- Sys Dir RC Business Operations
- Phone
- (503) 215-4323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
PO Box 3397
Portland, OR 97208-3397
Phone (503) 215-4323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000ZGBGT | Other | OR | PART B MEDICARE PTAN |
| 500400279 | Medicaid | OR |
Other names 1
- Providence Seaside Hospital
National Provider Directory
National Provider Directory- Part of
- Providence Hood River Memorial Hospital Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1649344466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3397",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083397",
"telephone_number": "503-215-4323",
"fax_number": "503-215-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S WAHANNA RD",
"city": "SEASIDE",
"state": "OR",
"postal_code": "971387735",
"telephone_number": "503-717-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE HEALTH & SERVICES - OREGON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES - OREGON",
"enumeration_date": "2006-11-20",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "DOWLING",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "SYS DIR RC BUSINESS OPERATIONS",
"authorized_official_telephone_number": "503-215-4323",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PART B MEDICARE PTAN",
"identifier": "0000ZGBGT",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500400279",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence Seaside Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seaside, OR
- Aydan William Parsons, DPT, PT
- Ravindra R Patil, M.D., PHD
- Derk Penrod, PHARMD
- Seth Richard Perkins
- Gregory John Pigeon, CRNA
- Providence Health & Services Oregon (Providence Seaside Hospital)
- Providence Health & Services Oregon (Providence Seaside Hospital)
- Providence Health & Services Oregon (Providence Seaside Hospital)
- Providence Health & Services Oregon (Providence Seaside Hospital, Providence Seaside Clinic)
- Providence Health & Services Oregon (Providence Seaside Hospital Retail Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.