ENUMCLAW REGIONAL HOSPITAL ASSOCIATION NPI 1417105107

NPI Information

  • NPI: 1417105107
  • Provider Name: ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: ST ELIZABETH HOSPTIAL
  • Address: 1455 BATTERSBY AVE
    ENUMCLAW, WA
    ZIP 98022
  • Phone: (888) 846-7304

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NPI Details

ENUMCLAW REGIONAL HOSPITAL ASSOCIATION is a medicare defined swing bed unit in Enumclaw, WA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. ENUMCLAW REGIONAL HOSPITAL ASSOCIATION NPI is 1417105107. The provider is registered as an organization entity type.
The provider Is Doing Business As St Elizabeth Hosptial.

The provider's business location address is:

1455 BATTERSBY AVE
ENUMCLAW, WA
ZIP 98022-634
Phone: (888) 846-7304
Fax: (253) 573-7059

The provider's authorized official is Mike Fitzgerald .
The authorized official title is Cfo and has the following contact phone number (253) 680-4005.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitH035WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13310406MEDICAIDWASHINGTON
250Z335MEDICARE OSCAR/CERTIFICATIONWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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