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Providence Health & Services Washington
Clinic/Center in College Place, Washington
NPI 1023563897

Providence Health & Services Washington is a Clinic/Center based in Liberty Lake, WA. Providence Health & Services Washington practices in College Place, WA. The NPI Number for Providence Health & Services Washington is 1023563897 and holds a License No. (Washington).

The current practice location address for Providence Health & Services Washington is 1705 Se Meadowbrook Blvd, College Place, WA and can be reached out via phone at 509-987-2450.

Location: 1705 Se Meadowbrook Blvd, College Place, WA, 99019-0032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023563897
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
1705 Se Meadowbrook Blvd, College Place, WA, 99019-0032
Phone Number
509-987-2450
Fax Number
Provider Enumeration Date
08/22/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1705 Se Meadowbrook Blvd
City
College Place
State
Washington
Zip
99324-1756
Phone Number
509-987-2450
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Se Meadowbrook Blvd
City
College Place
State
Washington
Zip
99324-1756
Phone Number
509-987-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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