National Provider Identifier Database

PROVIDENCE HEALTH SERVICES WASHINGTON
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
4800 COLLEGE ST SE
LACEY, WA98503-4389
Phone: 360-456-7575
Fax: 360-493-5088
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number 1467462952
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECREATRY FOR ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 08/08/2006
Last updated 07/25/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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