Prov Centralia Internal Medicine
LBN: Providence Health & Service Washington
Prov Centralia Internal Medicine is an health care organization with primary practice located at 1010 South Scheuber Rd Suites 3 & 4, Centralia WA 98531-8892. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Clinic/Center. Other Service Providers / Specialist is the primary health care specialty.
Providence Health & Service Washington can be contacted via phone (360) 807-7966, or through Quinn, Nicole via phone (425) 525-6715.
Contact Information
Primary practice address
1010 South Scheuber Rd Suites 3 & 4
Centralia WA 98531-8892
Phone: (360) 807-7966
Fax: (360) 807-7977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1124117197 |
|---|---|
| LBN Legal business name | Providence Health & Service Washington |
| DBA Doing business as | Prov Centralia Internal Medicine |
| Authorized official | Quinn, Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Dec 22nd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124117197 | NPPES |
| Washington | MEDICAID | 71215552 | |
| Washington | Other | DD5654 |
Popular Providers
-
Reliable Enterprises
203 W Reynolds Ave , Centralia WA 98531-3313 -
Axtell Orthopedics Pa
800 Medical Center Dr Suite 240, Newton KS 67114-7808 -
Keysar Center Of Massage For The Medically Fragile
500 W Main St Suite D, Centralia WA 98531-4252 -
Anesthesia Associates Of New Mexico P C
1100 Central Ave Se , Albuquerque NM 87106-4930 -
Internal Medicine Associates Of Flint P.C.
G5607 W. Bristol Rd. , Flint MI 48507 -
Advanced Interventional Pain Management, Llc
350 Boulevard , Passaic NJ 07055-2840 -
Advanced Rehabilitation, Inc
1510 Kresky Ave , Centralia WA 98531-8980 -
Kilgore Vision Center
2943 Highway 62 W , Mountain Home AR 72653-6535