Providence St Mary Medical Center
LBN: Providence Health & Services - Washington
Providence St Mary Medical Center is an health care organization with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty.
Providence Health & Services - Washington can be contacted via phone (509) 897-3320, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
401 W Poplar St
Walla Walla WA 99362-2846
Phone: (509) 897-3320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | H-050 | Washington |
Profile Details
| NPI number | 1386895886 |
|---|---|
| LBN Legal business name | Providence Health & Services - Washington |
| DBA Doing business as | Providence St Mary Medical Center |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Apr 23rd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386895886 | NPPES |
| Washington | Other | 008478 | L&I STATE |
| Washington | Other | 201716900 | L&I STATE |
| Washington | MEDICAID | 3303104 | L&I STATE |
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