Providence Mount St Vincent

LBN: Providence Health & Services Washington
Providence Mount St Vincent is an health care organization with primary practice located at 4831 35Th Ave Sw , Seattle WA 98126-2709. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Providence Health & Services Washington can be contacted via phone (206) 937-3700, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4831 35Th Ave Sw Seattle WA 98126-2709
Phone: (206) 937-3700
Fax: (206) 938-8999
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X BH-198 Washington
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 77 Washington

Profile Details

NPI number 1952386369
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Mount St Vincent
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Nov 3rd, 2021 - about 3 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 1952386369 NPPES
Washington MEDICAID 41-07702

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