Providence Imaging Center

LBN: Providence Health & Service - Washington
Providence Imaging Center is an health care organization with primary practice located at 908 S Scheuber Rd , Centralia WA 98531-9027. The organization recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Mammography. Technologists, Technicians & Other Technical Service Providers / Radiography is the primary health care specialty. Providence Health & Service - Washington can be contacted via phone (360) 330-8880, or through Quinn, Nicole via phone (425) 525-6715.

Contact Information

Primary practice address
908 S Scheuber Rd Centralia WA 98531-9027
Phone: (360) 330-8880
Fax: (360) 330-8812
Website:
Map and Directions
Authorized official contact:
Name: Quinn, Nicole
Phone: (425) 525-6715

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X

Profile Details

NPI number 1811942758
LBN Legal business name Providence Health & Service - Washington
DBA Doing business as Providence Imaging Center
Authorized official Quinn, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Dec 22nd, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811942758 NPPES
Washington MEDICAID 7124043

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