Providence Centralia Hospital Pt

LBN: Providence Health System Washington
Providence Centralia Hospital Pt is an health care organization with primary practice located at 914 S Scheuber Rd , Centralia WA 98531-9027. The organization recently has only one registered license in Hospital Units / Rehabilitation Unit, which is considered as the primary health care specialty. Providence Health System Washington can be contacted via phone (360) 736-2803, or through Risse, Thomas via phone (360) 493-5701.

Contact Information

Primary practice address
914 S Scheuber Rd Centralia WA 98531-9027
Phone: (360) 736-2803
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Risse, Thomas
Phone: (360) 493-5701

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X Washington

Profile Details

NPI number 1508058520
LBN Legal business name Providence Health System Washington
DBA Doing business as Providence Centralia Hospital Pt
Authorized official Risse, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Oct 21st, 2007 - about 17 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 1508058520 NPPES
Washington MEDICAID 7061559

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