Providence St. Peter Hospital Pac Lab

LBN: Providence St. Peter Hospital
Providence St. Peter Hospital Pac Lab is an health care organization with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Providence St. Peter Hospital can be contacted via phone (800) 752-8994, or through Rogers, Kurt via phone (509) 755-8700.

Contact Information

Primary practice address
413 Lilly Rd Ne Olympia WA 98506-5133
Phone: (800) 752-8994
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Kurt
Phone: (509) 755-8700

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1497048615
LBN Legal business name Providence St. Peter Hospital
DBA Doing business as Providence St. Peter Hospital Pac Lab
Authorized official Rogers, Kurt
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2011
Last updated May 20th, 2011 - about 13 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 1497048615 NPPES
Washington MEDICAID 3302601

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