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PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1518264357


NPI Information

NPI: 1518264357
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Doing Business As: PROVIDENCE MEDICAL GROUP CHEHALIS FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
931 S MARKET BLVD
CHEHALIS, WA
ZIP 98532
Phone: (360) 767-6300
Get Directions

PROVIDENCE HEALTH & SERVICES WASHINGTON is a family medicine in Chehalis, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1518264357. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Medical Group Chehalis Family Medicine.

The provider's business location address is:

931 S MARKET BLVD
CHEHALIS, WA
ZIP 98532-423
Phone: (360) 767-6300
Fax: (360) 767-6320

The provider's authorized official is Daniel T Harris .
The authorized official title is Cfo and has the following contact phone number (425) 687-3603.

The enumeration date for this NPI number is 2/14/2011 and was last updated on 4/20/2011.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

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