Providence St Mary Dme

LBN: Providence Health & Services - Washington
Providence St Mary Dme is an health care organization with primary practice located at 380 Chase Ave , Walla Walla WA 99362-2924. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (509) 522-5900, or through Columber, Susan via phone (509) 522-5906.

Contact Information

Primary practice address
380 Chase Ave Walla Walla WA 99362-2924
Phone: (509) 522-5900
Fax: (509) 522-5578
Website:
Map and Directions
Authorized official contact:
Name: Columber, Susan
Phone: (509) 522-5906

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X H-050 Washington

Profile Details

NPI number 1053562876
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence St Mary Dme
Authorized official Columber, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated Jun 12th, 2009 - about 16 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 1053562876 NPPES
Washington Other 008478 L&I STATE
Washington MEDICAID 9055955 L&I STATE

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