Provider Type Icon

SISTERS OF PROVIDENCE IN WASHINGTON NPI 1366634503


NPI Information

NPI: 1366634503
Provider Name: SISTERS OF PROVIDENCE IN WASHINGTON

Doing Business As: PROVIDENCE MOUNT SAINT VINCENT

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4831 35TH AVE SW
SEATTLE, WA
ZIP 98126
Phone: (206) 937-3700
Get Directions

SISTERS OF PROVIDENCE IN WASHINGTON is an adult day care clinic center in Seattle, WA. SISTERS OF PROVIDENCE IN WASHINGTON NPI is 1366634503. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Mount Saint Vincent.

The provider's business location address is:

4831 35TH AVE SW
SEATTLE, WA
ZIP 98126-709
Phone: (206) 937-3700
Fax: (206) 938-8999

The provider's authorized official is Joe Vollmer .
The authorized official title is Billing Supervisor and has the following contact phone number (425) 254-5403.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.


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
1261QA0600XClinic/CenterAdult Day Care77WASHINGTONYes

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
19042979MEDICAIDWASHINGTON

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.