Providence St Peter Hospital
LBN: Providence Health & Services Washington
Providence St Peter Hospital is an health care organization with primary practice located at 2505 Olympic Hwy N. Ste 140, Shelton WA 98584-2978. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Providence Health & Services Washington can be contacted via phone (360) 432-8692, or through Quinn, Nicole via phone (425) 525-6715.
Contact Information
Primary practice address
2505 Olympic Hwy N. Ste 140
Shelton WA 98584-2978
Phone: (360) 432-8692
Fax: (360) 432-9902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X |
Profile Details
| NPI number | 1073744850 |
|---|---|
| LBN Legal business name | Providence Health & Services Washington |
| DBA Doing business as | Providence St Peter Hospital |
| Authorized official | Quinn, Nicole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2009 |
| Last updated | Dec 22nd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073744850 | NPPES |
| Washington | MEDICAID | 1993062 |
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