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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
 

Hospice, Inpatient

315D00000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI # 1083947709
LBN Legal business name PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2009
Last updated 05/16/2025 - More than a year ago
Identifiers
WA License # IHS.FS.00000418
WA Medicaid 1009255
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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