Providence St Peter Internal Medi
LBN: Providence Health & Services Washington
Providence St Peter Internal Medi is an health care organization with primary practice located at 1450 Northwest Lane Se , Lacey WA 98503-6908. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Providence Health & Services Washington can be contacted via phone (360) 491-4460, or through Quinn, Nicole via phone (425) 525-6715.
Contact Information
Primary practice address
1450 Northwest Lane Se
Lacey WA 98503-6908
Phone: (360) 491-4460
Fax: (360) 491-3090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1033309604 |
|---|---|
| LBN Legal business name | Providence Health & Services Washington |
| DBA Doing business as | Providence St Peter Internal Medi |
| Authorized official | Quinn, Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Dec 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033309604 | NPPES |
| Washington | Other | 8944993 | L&I CRIME VICTIMS |
| Washington | Other | 342006812 | L&I CRIME VICTIMS |
| Washington | MEDICAID | 7138694 | L&I CRIME VICTIMS |
| Washington | Other | 223577 | L&I CRIME VICTIMS |
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