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Providence Health & Services Washington
Rural Health Clinic/Center in Chewelah, Washington
NPI 1639892672

Providence Health & Services Washington is a Rural Health Clinic/Center based in Liberty Lake, WA and is specialized in Rural Health. Providence Health & Services Washington practices in Chewelah, WA. The NPI Number for Providence Health & Services Washington is 1639892672 and holds a License No. (Washington).

The current practice location address for Providence Health & Services Washington is 100 W South Ave, Chewelah, WA and can be reached out via phone at 509-935-8111 and via fax at 509-935-0970.

Location: 100 W South Ave, Chewelah, WA, 99019-0421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639892672
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
100 W South Ave, Chewelah, WA, 99019-0421
Phone Number
509-935-8111
Fax Number
509-935-0970
Provider Enumeration Date
09/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 W South Ave
City
Chewelah
State
Washington
Zip
99109-9684
Phone Number
509-935-8111
Fax Number
509-935-0970
person
Provider Business Mailing Address Details
Address
100 W South Ave
City
Chewelah
State
Washington
Zip
99109-9684
Phone Number
509-935-8111
Fax Number
509-935-0970
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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