NPI:
1073744850
Provider Name:
PROVIDENCE HEALTH & SERVICES WASHINGTON
Doing Business As: PROVIDENCE ST PETER HOSPITAL
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
2505 OLYMPIC HWY N.
STE 140
SHELTON, WA
ZIP 98584
Phone:
(360) 432-8692
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PROVIDENCE HEALTH & SERVICES WASHINGTON is a rehabilitation and substance use disorder clinic center in Shelton, WA. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1073744850. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St Peter Hospital.
The provider's business location address is:
2505 OLYMPIC HWY N.
STE 140
SHELTON, WA
ZIP 98584-978
Phone: (360) 432-8692
Fax: (360) 432-9902
The provider's authorized official is Nicole Quinn .
The authorized official title is Payor Credentialing Manager and has the following contact phone number (425) 525-6715.
The enumeration date for this NPI number is 7/28/2009 and was last updated on 12/22/2010.