FRS Facility Detail Report


PROVIDENCE EVERETT MEDICAL CTR COLBY CAM

EPA Registry Id: 110015408058
1321 COLBY AVE
EVERETT, WA 98201


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
AIR FACILITY SYSTEM
PROVIDENCE GENERAL MEDICAL, GENERAL 5306117029 AIR MINOR (OPERATING) AIRS/AFS 10/02/2012
WASHINGTON - FACILITY / SITE IDENTIFICATION SYSTEM
PROVIDENCE EVERETT MEDICAL CTR COLBY CAM 71498228
exit EPA
STATE MASTER WA-FSIS
HAZWASTE-WAD988483004
CESQG
HAZWASTE-WAD988483004
SQG
TOXICS-
INDEPENDENT CLEANUP
STORMWATER-CSW-24122
NPDES STORMWATER PERMIT
ICIS-AIR (AIR)
PROVIDENCE REGIONAL MEDICAL CENTER WAPSC0005306117029 AIR MINOR ICIS 11/18/2014
WASHINGTON - FACILITY / SITE IDENTIFICATION SYSTEM
PROVIDENCE REGIONAL MEDICAL CTR 22273
exit EPA
STATE MASTER WA-FSIS
TOXICS-619706
UNDERGROUND STORAGE TANK PROGRAM
WASHINGTON - FACILITY / SITE IDENTIFICATION SYSTEM
PROVIDENCE GEN MED CTR 84432355
exit EPA
STATE MASTER WA-FSIS
TOXICS-6566
UNDERGROUND STORAGE TANK PROGRAM
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
PROVIDENCE EVERETT MEDICAL CTR COLBY CAM WAD988483004 SQG (Y) RCRAINFO

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
AIRS/AFS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIR
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

WA-FSIS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

Facility Codes and Flags

EPA Region: 10
Duns Number: 130483597
Congressional District Number: 02
Legislative District Number: 38
HUC Code/Watershed: 17110019 / PUGET SOUND
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land:

Alternative Names

Alternative Name Source of Data
GENERAL HOSPITAL MEDICAL CTR NOTIFICATION (RCRA)
PROVIDENCE GEN MED CTR WA-FSIS
PROVIDENCE GENERAL MEDICAL, GENERAL AIRS/AFS
PROVIDENCE REGIONAL MEDICAL CTR WA-FSIS

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
OWNER
A&W PLUS DECORATING
WA-FSIS
View
OPERATOR
PROVIDENCE EVERETT MEDICAL CTR
RCRAINFO


OWNER
PROVIDENCE EVERETT MEDICAL CTR
RCRAINFO
View
OWNER
RAINING RUSSELL LLC
WA-FSIS
View
OWNER
PROVIDENCE EVERETT MEDICAL CENTER
RCRAINFO
View
OPERATOR
RAINING RUSSELL LLC
WA-FSIS
View
OWNER
PROVIDENCE EVERETT MEDICAL CTR
RCRAINFO
View
OPERATOR
PROVIDENCE EVERETT MEDICAL CTR
RCRAINFO
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
AIR 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
WA-FSIS 062211

AIRS/AFS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
RCRAINFO 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
OPERATOR 9315 WEST SUNSET LAS VEGAS 89148 WA-FSIS
MAILING ADDRESS 14TH & COLBY EVERETT WA 98201 WA-FSIS
FACILITY MAILING ADDRESS PO BOX 1147 EVERETT WA 98206 RCRAINFO
OPERATOR 1321 COLBY AVE EVERETT WA 98201-1600 RCRAINFO
MAILING ADDRESS 9315 WEST SUNSET LAS VEGAS 89148 WA-FSIS
OWNER 1815 10TH ST NE ROCHESTER MN 55906 WA-FSIS
MAILING ADDRESS 1819 13TH ST EVERETT WA 98201 WA-FSIS
MAILING ADDRESS 4 MI W OF PORT ANGELES PORT ANGELES WA 98362 WA-FSIS
MAILING ADDRESS 1321 COLBY AVE EVERETT WA 98201-1600 WA-FSIS
OWNER PO BOX 1147 EVERETT WA 98206 RCRAINFO
OWNER 9315 WEST SUNSET LAS VEGAS 89148 WA-FSIS
OWNER P O BOX 1147 APOPKA FL 32704 RCRAINFO
MAILING ADDRESS NW1/4 SEC3 T21 R5W WM SHELTON WA 98584 WA-FSIS
OWNER 1321 COLBY AVE EVERETT WA 98201-1600 RCRAINFO
REGULATORY CONTACT 2732 GRAND AVENUE STE 122 EVERETT WA 98201 RCRAINFO

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
OWNER
MR. KHUSROW ROOHANI
(702) 368-6700
WA-FSIS
View
OPERATOR
MR. KHUSROW ROOHANI
(702) 368-6700
WA-FSIS
View
REGULATORY CONTACT
CHAD LISENBY
425-261-3912
RCRAINFO
View

Query executed on: OCT-14-2025