Providence Health & Services Washington

LBN: Providence Health & Services Washington
Providence Health & Services Washington is an health care organization with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 491-9480, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
413 Lilly Rd Ne Olympia WA 98506-5133
Phone: (360) 491-9480
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Hospitals / General Acute Care Hospital 282N00000X 313007977 Washington

Profile Details

NPI number 1619176997
LBN Legal business name Providence Health & Services Washington
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Oct 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619176997 NPPES
Washington MEDICAID 9317108
Washington Other 8901337
Washington Other 129210

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