institution
Providence Physician Group
Durable Medical Equipment & Medical Supplies in Everett, Washington
NPI 1639258130

Providence Physician Group is a Durable Medical Equipment & Medical Supplies based in Everett, WA. Providence Physician Group practices in Everett, WA. The NPI Number for Providence Physician Group is 1639258130 and holds a License No. (Washington).

The current practice location address for Providence Physician Group is 12800 Bothell Everett Hwy, Everett, WA and can be reached out via phone at 425-316-5150 and via fax at 425-316-5153. You can also correspond with Providence Physician Group through the mailing address at 909 N BROADWAY, EVERETT, WA - 98201-1409 (mailing address contact number: 425-317-0257).

Location: 12800 Bothell Everett Hwy, Everett, WA, 98201-1409
institution
Provider Profile Details
NPI Number
1639258130
Provider Name
Providence Physician Group
Credential
Provider Entity Type
Organization
Address
12800 Bothell Everett Hwy, Everett, WA, 98201-1409
Phone Number
425-316-5150
Fax Number
425-316-5153
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7095367 05 WA
institution
Provider Business Practice Location Address Details
Address
12800 Bothell Everett Hwy
City
State
Zip
98208-6642
Phone Number
425-316-5150
Fax Number
425-316-5153
person
Provider Business Mailing Address Details
Address
909 N Broadway
City
State
Zip
98201-1409
Phone Number
425-317-0257
Fax Number
425-317-0291
person
Provider's Taxonomy Details 1
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).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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