Providence St Mary Tcu

LBN: Providence Health & Services - Washington
Providence St Mary Tcu 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 Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (509) 522-5870, or through Columber, Susan A via phone (509) 522-5290.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Phone: (509) 522-5870
Fax: (509) 522-5751
Website:
Map and Directions
Authorized official contact:
Name: Columber, Susan A
Phone: (509) 522-5290

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H-050 Washington

Profile Details

NPI number 1447401260
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence St Mary Tcu
Authorized official Columber, Susan A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated Nov 5th, 2014 - about 10 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 1447401260 NPPES
Washington Other 204884 L&I STATE
Washington MEDICAID 4212015 L&I STATE

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