Providence Health & Services Washington

LBN: Providence Health & Services Washington
Providence Health & Services Washington is an health care organization with primary practice located at 4800 College St Se , Lacey WA 98503-4389. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 456-7575, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
4800 College St Se Lacey WA 98503-4389
Fax: (360) 493-5088
Website:
Authorized official contact:
Name: Anderson, Donald Wayne

Profile Details

NPI number 1689805509
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 28th, 2009
Last updated Oct 30th, 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 1689805509 NPPES
Other 50-0143 MEDICARE ID UNSPECIFIED
MEDICAID 3400017 MEDICARE ID UNSPECIFIED

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