NPIMap

Organization Active NPI

Providence Health & Services - Wa

Doing business as Providence St Joseph Hospital

  • Skilled Nursing Facility
  • Chewelah, WA
National Provider Identifier
1700038197
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROVIDENCE HEALTH & SERVICES - WA
Doing business as
Providence St Joseph Hospital
Practice address
500 E Webster Ave
Chewelah, WA 99109-9523
Phone
(509) 935-8211
Fax
(509) 935-5205
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dan Goggin
Title
Cfo
Phone
(509) 474-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

500 E Webster Ave
Chewelah, WA 99109-9523

Mailing address

PO Box 197
500 E Webster
Chewelah, WA 99109-0197
Phone (509) 935-8211

Other names 1

  • Providence St Joseph Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

3413 W Pacific Ave
Ste 100
Burbank, CA 91505
Phone (818) 561-7589

1419 19th St
Santa Monica, CA 90404
Phone (310) 820-8608

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1700038197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "address_2": "500 E WEBSTER",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090197",
            "telephone_number": "509-935-8211",
            "fax_number": "509-935-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WEBSTER AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099523",
            "telephone_number": "509-935-8211",
            "fax_number": "509-935-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "GOGGIN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-474-4899"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence St Joseph Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.