Providence Mother Joseph Care Center

LBN: Providence Health & Services Washington
Providence Mother Joseph Care Center is an health care organization with primary practice located at 3333 Ensign Rd Ne , Olympia WA 98506-5012. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 493-4900, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
3333 Ensign Rd Ne Olympia WA 98506-5012
Phone: (360) 493-4900
Fax: (360) 493-4000
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1067 Washington

Profile Details

NPI number 1992704126
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Mother Joseph Care Center
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 31st, 2020 - about 6 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 1992704126 NPPES
Washington MEDICAID 4110672

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