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Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
12800 BOTHELL EVERETT HWY
SUITE 260B
EVERETT, WA98208-6642
 Phone: 425-316-5425
 Fax: 425-316-5427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bone Densitometry Radiologic Technologist

2471B0102X
 

Body Imaging

2085B0100X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number 1275785669
LBN Legal business name PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2008
Last updated 07/31/2025 - About 10 months ago
Identifiers
Other 1093896854 OLD NPI
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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