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 only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as 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:
Map and Directions
Authorized official contact:
Name: Parenteau, Michael
Phone: (509) 522-5890

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1891046926
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 28th, 2012
Last updated Sep 28th, 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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