Providence Health & Services-Wa

LBN: Providence Health & Services-Wa
Providence Health & Services-Wa is an health care organization with primary practice located at 916 Pacific Ave 1 South, Everett WA 98201-4147. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Providence Health & Services-Wa can be contacted via phone (425) 258-7390, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
916 Pacific Ave 1 South Everett WA 98201-4147
Phone: (425) 258-7390
Fax: (425) 258-7379
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1306097415
LBN Legal business name Providence Health & Services-Wa
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2008
Last updated Jan 11th, 2018 - 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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