Providence Regional Medical Center Everett

LBN: Providence Health & Services - Wa
Providence Regional Medical Center Everett is an health care organization with primary practice located at 916 Pacific Ave , Everett WA 98201-4147. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Providence Health & Services - Wa can be contacted via phone (425) 258-7361, or through Werttemberger, Eric via phone (425) 261-3534.

Contact Information

Primary practice address
916 Pacific Ave Everett WA 98201-4147
Phone: (425) 258-7361
Fax: (425) 258-7690
Website:
Map and Directions
Authorized official contact:
Name: Werttemberger, Eric
Phone: (425) 261-3534

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHAR.CF.00001024 Washington

Profile Details

NPI number 1750783759
LBN Legal business name Providence Health & Services - Wa
DBA Doing business as Providence Regional Medical Center Everett
Authorized official Werttemberger, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2014
Last updated Jun 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750783759 NPPES
Other 2110524 PK
MEDICAID 3309606 PK

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