Phd#2 Of Snohomish County, NPI 1023006061
Psychiatric Hospital Unit in Edmonds, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1023006061
NPI Entity Type Organization
Provider Name Phd#2 Of Snohomish County
Doing Business As
Subpart of Organization Phd#2 Of Snohomish County
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 21601 76th Ave W, Edmonds, WA, US
Provider Mailing Address 21601 76th Ave W, Edmonds, WA, US, 980267507
Is Sole Proprietor? No
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Organization Official

Official Name MR. Gary Wangsmo
Official Position CFO
Phone 425-640-4113

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. H-138
License State WA
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

Stevens Hospital, Stevens Memorial Hospital
Doing Business As

Business Address

Phd#2 Of Snohomish County
21601 76th Ave W

Edmonds, WA, US

Phone: 425-640-4000
Fax: 425-640-4432

Mailing Address

Phd#2 Of Snohomish County
21601 76th Ave W
Edmonds, WA, US
ZIP 980267507
Phone: 425-640-4000
Fax: 425-640-4432

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
W718582 WA CHAMPUS 01
MC150 WA PREMERA BLUE CROSS 01
ST0092 WA REGENCE BLUE SHIELD 01
150 WA PREMERA BLUE CROSS 01
11031 WA WA DEPT OF L&I 01
0288 WA REGENCE BLUE SHIELD 01
3500071 WA MEDICAID 05
HP150 WA PREMERA BLUE CROSS 01
0065668 WA AETNA 01
6580520 WA AETNA 01

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NPI Name Taxonomy Address

1982329355

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Michaela Mae Bassuer

Individual

Student in an Organized Health Care Education/Training Program

505 N Argonne Rd Ste B206

Spokane Valley, WA

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