Providence Medical Group Southeast Washington

LBN: Providence Health & Services - Washington
Providence Medical Group Southeast Washington is an health care organization with primary practice located at 380 Chase Ave , Walla Walla WA 99362-2924. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (509) 526-3333, or through Anderson, Donald via phone (425) 525-5392.

Contact Information

Primary practice address
380 Chase Ave Walla Walla WA 99362-2924
Phone: (509) 526-3333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1326569682
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Medical Group Southeast Washington
Authorized official Anderson, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - about 7 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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