NPIMap

Organization Active NPI

Southwest Washington Medical Center

  • General Acute Care Hospital
  • Vancouver, WA
National Provider Identifier
1891785903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000070 Issued in WA
Legal business name
SOUTHWEST WASHINGTON MEDICAL CENTER
Practice address
400 NE Mother Joseph PL
Pharmacy Department
Vancouver, WA 98664-3200
Phone
(360) 514-2294
Fax
(360) 514-2003
NPI assigned
Oct 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rick A. Bross, PHARM. D.
Title
Pharmacy Operations Manager
Phone
(360) 514-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000070 WA Primary

Addresses

Primary practice location

400 NE Mother Joseph PL
Pharmacy Department
Vancouver, WA 98664-3200

Mailing address

PO Box 1600
Pharmacy Department
Vancouver, WA 98668-1600
Phone (360) 514-2294

Other identifiers 2

IdentifierTypeStateIssuer
4923315OtherWANABP NUMBER
4923315MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth Southwest Med6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

200 NE Mother Joseph Pl
Ste 320
Vancouver, WA 98664
Phone (360) 514-6300

201 NE Park Plaza Dr
Ste 145
Vancouver, WA 98684
Phone (360) 729-8383

9330 NE Vancouver Mall Dr
Ste 100
Vancouver, WA 98662
Phone (360) 729-8510

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891785903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681600",
            "telephone_number": "360-514-2294",
            "fax_number": "360-514-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200",
            "telephone_number": "360-514-2294",
            "fax_number": "360-514-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WASHINGTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROSS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "360-514-6087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "000070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4923315",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4923315",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • 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.