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PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1710161344


NPI Information

NPI: 1710161344
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Doing Business As: PROVIDENCE ST PETER INTERNAL MEDI

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3425 ENSIGN RD NE
SUITE 220
OLYMPIA, WA
ZIP 98506
Phone: (360) 491-1112
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PROVIDENCE HEALTH & SERVICES WASHINGTON is an internal medicine in Olympia, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1710161344. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Providence St Peter Internal Medi.

The provider's business location address is:

3425 ENSIGN RD NE
SUITE 220
OLYMPIA, WA
ZIP 98506-063
Phone: (360) 491-1112

The provider's authorized official is Nicole Quinn .
The authorized official title is Payor Credentialing Manager and has the following contact phone number (425) 525-6715.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/22/2010.


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 MedicineYes

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
1G8856931MEDICARE PINWASHINGTON

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

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