Providence St Mary Home Health

LBN: Providence Health & Services - Washington
Providence St Mary Home Health is an health care organization with primary practice located at 380 Chase Ave , Walla Walla WA 99362-2924. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (509) 897-8600, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
380 Chase Ave Walla Walla WA 99362-2924
Phone: (509) 897-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X IS446 Washington

Profile Details

NPI number 1558512368
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence St Mary Home Health
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated Dec 14th, 2023 - about 3 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 1558512368 NPPES
Washington MEDICAID 9109703
Washington Other 074073

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