Providence Physician Group Dexascan Phcc

LBN: Providence Health & Services - Washington
Providence Physician Group Dexascan Phcc is an health care organization with primary practice located at 12800 Bothell Everett Hwy Suite 260B, Everett WA 98208-6642. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Suppliers / Durable Medical Equipment & Medical Supplies. Technologists, Technicians & Other Technical Service Providers / Bone Densitometry is the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (425) 316-5425, or through Kobayashi, Joyce A via phone (425) 317-0186.

Contact Information

Primary practice address
12800 Bothell Everett Hwy Suite 260B Everett WA 98208-6642
Phone: (425) 316-5425
Fax: (425) 316-5427
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce A
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1275785669
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Physician Group Dexascan Phcc
Authorized official Kobayashi, Joyce A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2008
Last updated Oct 16th, 2008 - 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 1275785669 NPPES
Other 1093896854 OLD NPI

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