NPIMap

Organization Active NPI

Hospice of Spokane

Doing business as Spokane Palliative Care & Mobile Medicine of Spokane

  • Community Based Hospice Care Agency
  • Spokane, WA
National Provider Identifier
1760475255
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS-337 Issued in WA
Legal business name
HOSPICE OF SPOKANE
Doing business as
Spokane Palliative Care & Mobile Medicine of Spokane
Practice address
121 S Arthur St
Spokane, WA 99202-2253
Phone
(509) 456-0438
Fax
(509) 458-0359
NPI assigned
Aug 30, 2005
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Ms. Gina Drummond, RN, MSN
Title
Ceo
Phone
(509) 456-0438

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS-337 WA Primary
Inpatient Hospice 315D00000X IHS FS 00000337 WA

Addresses

Primary practice location

121 S Arthur St
Spokane, WA 99202-2253

Mailing address

121 S Arthur St
PO Box 2215
Spokane, WA 99202-2253
Phone (509) 456-0438

Other identifiers 1

IdentifierTypeStateIssuer
3990165MedicaidWA

Other names 1

  • Spokane Palliative Care & Mobile Medicine of Spokane Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030722000060 WA Part A Provider - Hospice 7810808607 Practice locations: Spokane, WA
O20040407000146 WA Part B Supplier - Clinic/Group Practice 7810808607 Receives reassigned benefits from 4 practitioners
Practice locations: Spokane, WA
O20070913000945 WA Part B Supplier - Mass Immunization (Roster Biller Only) 7810808607 Practice locations: Spokane, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760475255. Details of each certification follow.

Hospice certification: CCN 501503

Legal name
HOSPICE OF SPOKANE
Doing business as
SPOKANE PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 24, 1984
Last certification
Oct 10, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 1976 in WA
Enrollment address
121 S Arthur St
Spokane, WA 99202-2253

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of SpokaneCCN 501503 · All quality measures
Ownership
Non-Profit
Certified
Mar 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1067546Hospice of Spokane121 S Arthur St, Spokane, WA 99202Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

121 S Arthur St
Spokane, WA 99202
Phone (509) 456-0438

367 E 7th Ave
Spokane, WA 99202
Phone (509) 838-2567

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Gina Drummond Individual W-2 Managing Employee Jan 17, 2005
Operational/Managerial ControlCeo Jan 17, 2005
Brian Steverson Individual Corporate OfficerTrustee Aug 1, 2014
Ronda M Beckner Individual Corporate Director May 1, 2014
Larry Swartz Individual Corporate Director Aug 1, 2015
Nathan C Dikes Individual Corporate Director Jan 1, 2011
Angela Shamblin Individual Corporate Director Jan 1, 2013
April M Hansen Individual Operational/Managerial ControlPerformance Improvement Director Mar 29, 2004 25%
Mark Kettner Individual Corporate Officer Jan 1, 2012
Hospice of Spokane Organization, Spokane, WA Non-profit 5% Or Greater Direct Ownership Interest Apr 14, 2014 100%
George Novan Individual Corporate OfficerTrustee Sep 1, 2016
Carol Hunter Individual Corporate Officer Sep 1, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1760475255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ARTHUR ST",
            "address_2": "PO BOX 2215",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022253",
            "telephone_number": "509-456-0438",
            "fax_number": "509-458-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ARTHUR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022253",
            "telephone_number": "509-456-0438",
            "fax_number": "509-458-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-456-0438",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS-337",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "WA",
            "license": "IHS FS 00000337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3990165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Palliative Care & Mobile Medicine of Spokane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.