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Providence Health & Services Washington
Clinic/Center in Centralia, Washington
NPI 1689873937

Providence Health & Services Washington is a Clinic/Center based in Seattle, WA. Providence Health & Services Washington practices in Centralia, WA. The NPI Number for Providence Health & Services Washington is 1689873937 and holds a License No. 000057 (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 and via fax at 360-330-8642. You can also correspond with Providence Health & Services Washington through the mailing address at PO BOX 34439, SEATTLE, WA - 98124-1439 (mailing address contact number: 425-525-6778).

Location: 914 S Scheuber Rd, Centralia, WA, 98124-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689873937
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
914 S Scheuber Rd, Centralia, WA, 98124-1439
Phone Number
360-736-2803
Fax Number
360-330-8642
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7036759 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
360-330-8642
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
360-330-8642
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
000057 (Washington)
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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