Providence Mother Joseph Care Cent

LBN: Providence Health & Services Washington
Providence Mother Joseph Care Cent is an health care organization with primary practice located at 3333 Ensign Rd Ne , Olympia WA 98506-5012. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Providence Health & Services Washington can be contacted via phone (360) 493-4572, or through Wynn, Craig Steven via phone (360) 493-4572.

Contact Information

Primary practice address
3333 Ensign Rd Ne Olympia WA 98506-5012
Fax: (360) 493-5404
Website:
Authorized official contact:
Name: Wynn, Craig Steven R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X FL00056502 Washington

Profile Details

NPI number 1235271701
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Mother Joseph Care Cent
Authorized official Wynn, Craig Steven R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235271701 NPPES
Washington Other PHAR.CF.00056502 PHARMACY LICENSE
Washington MEDICAID 6022482 PHARMACY LICENSE
Washington Other 4927262 PHARMACY LICENSE

Popular Providers