Providence Medical Group Southeast Washington Rural Health Clinic
LBN: Providence Health & Services - Washington
Providence Medical Group Southeast Washington Rural Health Clinic is an health care organization with primary practice located at 380 Chase Avenue Pmg Se Wa Rural Health Clinic, Walla Walla WA 99362-2924. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Health & Services - Washington can be contacted via phone (509) 526-3333, or through Parenteau, Michael via phone (509) 522-5890.
Contact Information
Primary practice address
380 Chase Avenue Pmg Se Wa Rural Health Clinic
Walla Walla WA 99362-2924
Phone: (509) 526-3333
Fax: (509) 526-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1154672947 |
|---|---|
| LBN Legal business name | Providence Health & Services - Washington |
| DBA Doing business as | Providence Medical Group Southeast Washington Rural Health Clinic |
| Authorized official | Parenteau, Michael |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 20th, 2012 |
| Last updated | Sep 20th, 2012 - about 14 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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