National Provider Identifier Database

PROVIDENCE HEALTH SERVICES WASHINGTON
Hospice Care, Community Based


Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
1615 75TH ST SW STE 210
EVERETT, WA98203-6293
Phone: 425-261-4800
Fax: 425-261-4868
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice and Palliative Medicine 2080H0002X
Hospice, Inpatient 315D00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number 1083947709
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 09/14/2009
Last updated 05/16/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: IHS.FS.00000418
  • WA Medicaid: 1009255

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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