Provider Type Icon

PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1619176997


NPI Information

NPI: 1619176997
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 50D0636949

Address:
413 LILLY RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 491-9480
Get Directions

PROVIDENCE HEALTH & SERVICES WASHINGTON is a general acute care hospital in Olympia, 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 1619176997. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

413 LILLY RD NE
OLYMPIA, WA
ZIP 98506-133
Phone: (360) 491-9480

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Director Reimbursement Administrati and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 50D0636949 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 10/31/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeNo
3208M00000XHospitalistNo
4101YM0800XCounselorMental HealthNo
5103T00000XPsychologistNo
6103TC0700XPsychologistClinicalNo
7104100000XSocial WorkerNo
8207P00000XEmergency MedicineNo
9207Q00000XFamily MedicineNo
10282N00000XGeneral Acute Care Hospital313007977WASHINGTONYes

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
1G115117400MEDICARE PINWASHINGTON
28901337OTHERWASHINGTONL&I CRIME VICTIMS
3129210OTHERWASHINGTONL&I
49317108MEDICAIDWASHINGTON

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

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.