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Providence Health & Services - Washington
Nursing Facility/Intermediate Care Facility in Centralia, Washington
NPI 1407945322

Providence Health & Services - Washington is a Nursing Facility/Intermediate Care Facility based in Everett, WA. Providence Health & Services - Washington practices in Centralia, WA. The NPI Number for Providence Health & Services - Washington is 1407945322 and holds a License No. (Washington).

The current practice location address for Providence Health & Services - Washington is 914 S Scheuber Rd, Centralia, WA and can be reached out via phone at 360-736-2803.

Location: 914 S Scheuber Rd, Centralia, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407945322
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
914 S Scheuber Rd, Centralia, WA, 98201-1409
Phone Number
360-736-2803
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4211918 05 WA
institution
Provider Business Practice Location Address Details
Address
914 S Scheuber Rd
City
Centralia
State
Washington
Zip
98531-9027
Phone Number
360-736-2803
Fax Number
person
Provider Business Mailing Address Details
Address
914 S Scheuber Rd
City
Centralia
State
Washington
Zip
98531-9027
Phone Number
360-736-2803
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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