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Contact Information

PROVIDENCE HEALTH & SERVICES WASHINGTON
4800 COLLEGE ST SE
LACEY, WA98503-4389
 Phone: 360-456-7575
 Fax: 360-493-5088
 Website:
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI Number 1689805509
LBN Legal business name PROVIDENCE HEALTH & SERVICES WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY FOR ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2009
Last updated 05/15/2025 - More than a year 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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