PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1134656135

NPI Information

NPI: 1134656135
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Doing Business As: PROVIDENCE MEDICAL GROUP SOUTHWEST WASHINGTON

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1018 CAPITOL WAY S STE 300
OLYMPIA, WA
ZIP 98501
Phone: (360) 486-6508
Get Directions

PROVIDENCE HEALTH & SERVICES WASHINGTON is a general practice in Olympia, WA. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1134656135. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Medical Group Southwest Washington.

The provider's business location address is:

1018 CAPITOL WAY S STE 300
OLYMPIA, WA
ZIP 98501-212
Phone: (360) 486-6508
Fax: (360) 570-2077

The provider's authorized official is Donald W Anderson .
The authorized official title is Asst Sec For Enrollment / Dir Reimb and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 11/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes
2	261Q00000X	Clinic/Center				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »