Providence St Peter Hospital

LBN: Providence Health & Services Washington
Providence St Peter Hospital is an health care organization with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 491-9480, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
413 Lilly Rd Ne Olympia WA 98506-5133
Phone: (360) 491-9480
Fax:
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 / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1033398763
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence St Peter Hospital
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2017 - about 7 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 1033398763 NPPES
Washington MEDICAID 7135932
Washington Other 8901337
Washington Other 129210

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