St Joseph Hospital Er Physicians

LBN: Providence Healthcare
St Joseph Hospital Er Physicians is an health care organization with primary practice located at 500 E Webster Ave , Chewelah WA 99109-9523. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Providence Healthcare can be contacted via phone (509) 935-8211, or through Wicklund, Debbie via phone (509) 232-1177.

Contact Information

Primary practice address
500 E Webster Ave Chewelah WA 99109-9523
Phone: (509) 935-8211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wicklund, Debbie
Phone: (509) 232-1177

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 000077 Washington

Profile Details

NPI number 1588855548
LBN Legal business name Providence Healthcare
DBA Doing business as St Joseph Hospital Er Physicians
Authorized official Wicklund, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 18 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 1588855548 NPPES
Washington Other 000077 FACILITY ID
Washington MEDICAID 7031479 FACILITY ID

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