Providence Imaging Center

LBN: Providence Health & Services - Washington
Providence Imaging Center is an health care organization with primary practice located at 908 S Scheuber Rd , Centralia WA 98531-9027. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mammography, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (360) 330-8880, or through Nurmi, Kathleen via phone (360) 493-4081.

Contact Information

Primary practice address
908 S Scheuber Rd Centralia WA 98531-9027
Phone: (360) 330-8880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nurmi, Kathleen
Phone: (360) 493-4081

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X 602399531 Washington

Profile Details

NPI number 1528267804
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Imaging Center
Authorized official Nurmi, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Sep 18th, 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 1528267804 NPPES
Washington MEDICAID 7124043

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