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Providence Healthcare
Rural Acute Care Hospital in Deer Park, Washington
NPI 1417148461

Providence Healthcare is a Rural Acute Care Hospital based in Spokane, WA and is specialized in Rural. Providence Healthcare practices in Deer Park, WA. The NPI Number for Providence Healthcare is 1417148461 and holds a License No. H 178 (Washington).

The current practice location address for Providence Healthcare is 1015 E D St, Deer Park, WA and can be reached out via phone at 509-232-1173 and via fax at 509-232-1165.

Location: 1015 E D St, Deer Park, WA, 99201-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417148461
Provider Name
Providence Healthcare
Credential
Provider Entity Type
Organization
Address
1015 E D St, Deer Park, WA, 99201-2202
Phone Number
509-232-1173
Fax Number
509-232-1165
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000015 01 WA FACILITY ID
H 178 01 WA LICENSE
9043233 05 WA
institution
Provider Business Practice Location Address Details
Address
1015 E D St
City
Deer Park
State
Washington
Zip
99006-5067
Phone Number
509-232-1173
Fax Number
509-232-1165
person
Provider Business Mailing Address Details
Address
1015 E D St
City
Deer Park
State
Washington
Zip
99006-5067
Phone Number
509-232-1173
Fax Number
509-232-1165
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
282NR1301X
License No.
H 178 (Washington)
Definition
Definition to come...
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