Pmg Nw Wa Snohomish

LBN: Providence Health & Services - Wa
Pmg Nw Wa Snohomish is an health care organization with primary practice located at 1830 Bickford Ave Suite 211, Snohomish WA 98290-1751. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Health & Services - Wa can be contacted via phone (360) 568-5900, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
1830 Bickford Ave Suite 211 Snohomish WA 98290-1751
Phone: (360) 568-5900
Fax: (360) 568-5905
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1982855375
LBN Legal business name Providence Health & Services - Wa
DBA Doing business as Pmg Nw Wa Snohomish
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2008
Last updated Mar 1st, 2021 - about 4 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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