Providence St. Peter Chemical Dependency Center

LBN: Providence Health & Services - Washington
Providence St. Peter Chemical Dependency Center is an health care organization with primary practice located at 506 W Franklin St , Shelton WA 98584-3517. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (360) 432-8692, or through Nurmi, Kathleen via phone (360) 493-4081.

Contact Information

Primary practice address
506 W Franklin St Shelton WA 98584-3517
Phone: (360) 432-8692
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nurmi, Kathleen
Phone: (360) 493-4081

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X

Profile Details

NPI number 1073677605
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence St. Peter Chemical Dependency Center
Authorized official Nurmi, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 21st, 2008 - about 18 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 1073677605 NPPES
Washington MEDICAID 1993062

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