PROVIDENCE HEALTH & SERVICES WASHINGTON
PROVIDENCE HEALTH & SERVICES WASHINGTON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194099390, based in Spokane, WA. The organization lists 10 taxonomy classifications, with Pulmonary Disease Physician recorded as primary.
Getting there
The practice address on file is 101 W 8TH AVE MOTHER GAMELIN CENTER 3RD FLOOR, Spokane, WA 99204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0345139929
Enrolled in Medicare 24 times, across 24 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Washington | O20040311001453 | Part B Supplier - Clinic/group Practice |
| Idaho | O20151217001381 | Part B Supplier - Clinic/group Practice |
| Montana | O20151222000687 | Part B Supplier - Clinic/group Practice |
| Colorado | O20190114001966 | Part B Supplier - Clinic/group Practice |
| Alaska | O20190123000613 | Part B Supplier - Clinic/group Practice |
| California | O20190124002741 | Part B Supplier - Clinic/group Practice |
| Oregon | O20190128001785 | Part B Supplier - Clinic/group Practice |
| Michigan | O20200413000199 | Part B Supplier - Clinic/group Practice |
| Missouri | O20200825000777 | Part B Supplier - Clinic/group Practice |
| Florida | O20200826000649 | Part B Supplier - Clinic/group Practice |
| District of Columbia | O20200915001282 | Part B Supplier - Clinic/group Practice |
| New York | O20200922001453 | Part B Supplier - Clinic/group Practice |
| Nevada | O20200924001132 | Part B Supplier - Clinic/group Practice |
| Hawaii | O20200930002304 | Part B Supplier - Clinic/group Practice |
| Texas | O20210223000008 | Part B Supplier - Clinic/group Practice |
| Minnesota | O20221227001892 | Part B Supplier - Clinic/group Practice |
| Arizona | O20230406000320 | Part B Supplier - Clinic/group Practice |
| Illinois | O20240104000516 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20241126002182 | Part B Supplier - Clinic/group Practice |
| Nebraska | O20241127001268 | Part B Supplier - Clinic/group Practice |
| Utah | O20250312003552 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20250603000344 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20250915000566 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20251231001825 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 24 separate enrolment records across 24 states (WA, ID, MT, CO, AK, CA, OR, MI, MO, FL, DC, NY, NV, HI, TX, MN, AZ, IL, WI, NE, UT, NC, TN, NJ). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pulmonary Disease covers
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | primary |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician Hospice and Palliative Medicine | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician Hospice and Palliative Medicine | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 1223G0001X | General Practice Dentistry General Practice | — | — | |
| 104100000X | Social Worker | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1194099390 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 6, 2012 |
| Last updated | May 11, 2026 |
| Status | Active |
| Practice address |
101 W 8TH AVE MOTHER GAMELIN CENTER 3RD FLOOR Spokane, WA 99204 (509) 474-2072 |
| Mailing address |
PO BOX 31001-4114 Pasadena, CA 91110 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 0 | 9 | 9 | 3 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 0 | 9 | 9 | 3 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.