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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 5

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

Practitioners 35

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

View all 35

National Provider Directory

National Provider Directory
Tax ID family
Southwest Washington Medical Center (6 organizations share this tax ID)

Locations

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

14411 NE 20th Ave
Ste 101
Vancouver, WA 98686
Phone (360) 256-4425

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
4923315MedicaidWA
4923315OtherWANABP NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4923315",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "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.