PROVIDENCE HEALTH & SERVICES WASHINGTON; NPI #1194099390

Contact Information

PROVIDENCE HEALTH & SERVICES WASHINGTON

101 W 8TH AVE
MOTHER GAMELIN CENTER 3RD FLOOR
SPOKANE, WA 99204-2307

Phone: 509-474-2072
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine
Family Medicine	207Q00000X	08	Physician/Family Practice
General Practice	1223G0001X
Hospice and Palliative Medicine	207QH0002X	08	Physician/Family Practice
Hospice and Palliative Medicine	207RH0002X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Orthopaedic Surgery	207X00000X	02	Physician/General Surgery
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Sleep Medicine	207RS0012X	11	Physician/Internal Medicine
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI #	`1194099390`
LBN Legal business name	PROVIDENCE HEALTH & SERVICES WASHINGTON
Authorized official	DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/06/2012
Last updated	05/11/2026 - About a month ago
Identifiers	n/a

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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PROVIDENCE HEALTH & SERVICES WASHINGTON

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NPI Profile & details for PROVIDENCE HEALTH & SERVICES WASHINGTON

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