PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1023550050

NPI Information

NPI: 1023550050
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Doing Business As: PROVIDENCE COMMUNITY CARE CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
225 STATE AVE NE
OLYMPIA, WA
ZIP 98501
Phone: (360) 486-6400
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PROVIDENCE HEALTH & SERVICES WASHINGTON is a mental health (including community mental health center) clinic center in Olympia, WA. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1023550050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Community Care Center.

The provider's business location address is:

225 STATE AVE NE
OLYMPIA, WA
ZIP 98501-951
Phone: (360) 486-6400

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

The enumeration date for this NPI number is 11/8/2016 and was last updated on 2/15/2022.

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
1	104100000X	Social Worker		313007977	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	313007977	WASHINGTON	No
3	103T00000X	Psychologist		313007977	WASHINGTON	No
4	103TC0700X	Psychologist	Clinical	313007977	WASHINGTON	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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

NPI Synchronization or Removal

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