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PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1275732661


NPI Information

NPI: 1275732661
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Other Name: PROVIDENCE CENTRALIA HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
914 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-2803
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PROVIDENCE HEALTH & SERVICES WASHINGTON is a general acute care hospital in Centralia, WA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1275732661. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Providence Centralia Hospital.

The provider's business location address is:

914 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531-027
Phone: (360) 736-2803

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

The enumeration date for this NPI number is 7/16/2007 and was last updated on 1/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4208M00000XHospitalistNo
5282N00000XGeneral Acute Care Hospital313 007 977WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17124043MEDICAIDWASHINGTON
28901099OTHERWASHINGTONL&I CRIME VICTIMS
328551OTHERWASHINGTONL&I
4313 007 977OTHERWASHINGTONUNIFIED BUSINESS ID

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: 4/28/2024

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.