Providence Medical Group Southwest Washington

LBN: Providence Health & Services Washington
Providence Medical Group Southwest Washington is an health care organization with primary practice located at 1018 Capitol Way S Ste 300 , Olympia WA 98501-1212. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 486-6508, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
1018 Capitol Way S Ste 300 Olympia WA 98501-1212
Phone: (360) 486-6508
Fax: (360) 570-2077
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1134656135
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Medical Group Southwest Washington
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2017
Last updated Nov 26th, 2017 - about 9 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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