Providence Health & Services - Washington

LBN: Providence Health & Services - Washington
Providence Health & Services - Washington is an health care organization with primary practice located at 1615 75Th St Sw Ste 210 , Everett WA 98203-6293. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (425) 261-4800, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
1615 75Th St Sw Ste 210 Everett WA 98203-6293
Phone: (425) 261-4800
Fax: (425) 261-4868
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Hospice Care, Community Based 251G00000X IHS.FS.00000418 Washington
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X

Profile Details

NPI number 1083947709
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Jun 6th, 2024 - about 6 months 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 1083947709 NPPES
Washington MEDICAID 1009255

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