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
Phone: (360) 493-4572
Fax: (360) 493-5404
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235271701 | NPPES |
Washington | Other | PHAR.CF.00056502 | PHARMACY LICENSE |
Washington | MEDICAID | 6022482 | PHARMACY LICENSE |
Washington | Other | 4927262 | PHARMACY LICENSE |
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