institution
Providence Health & Service Washington
Clinic/Center in Centralia, Washington
NPI 1124117197

Providence Health & Service Washington is a Clinic/Center based in Seattle, WA. Providence Health & Service Washington practices in Centralia, WA. The NPI Number for Providence Health & Service Washington is 1124117197 and holds a License No. (Washington).

The current practice location address for Providence Health & Service Washington is 1010 South Scheuber Rd, Centralia, WA and can be reached out via phone at 360-807-7966 and via fax at 360-807-7977.

Location: 1010 South Scheuber Rd, Centralia, WA, 98124-1439
institution
Provider Profile Details
NPI Number
1124117197
Provider Name
Providence Health & Service Washington
Credential
Provider Entity Type
Organization
Address
1010 South Scheuber Rd, Centralia, WA, 98124-1439
Phone Number
360-807-7966
Fax Number
360-807-7977
Provider Enumeration Date
10/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71215552 05 WA
DD5654 01 WA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1010 South Scheuber Rd
City
State
Zip
98531-8892
Phone Number
360-807-7966
Fax Number
360-807-7977
person
Provider Business Mailing Address Details
Address
1010 South Scheuber Rd
City
State
Zip
98531-8892
Phone Number
360-807-7966
Fax Number
360-807-7977
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
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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