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PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1043374119


NPI Information

NPI: 1043374119
Provider Name: PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing Business As: PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER

Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
508 QUARTER EIGHTH STREET
HOQUIAM, WA
ZIP 98550
Phone: (360) 533-8813
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PROVIDENCE HEALTH & SERVICES - WASHINGTON is a rehabilitation substance use disorder unit in Hoquiam, WA. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1043374119. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St. Peter Chemical Dependency Center.

The provider's business location address is:

508 QUARTER EIGHTH STREET
HOQUIAM, WA
ZIP 98550
Phone: (360) 533-8813

The provider's authorized official is Kathleen Nurmi .
The authorized official title is Dir Revenue Cycle Mgmt Swsa and has the following contact phone number (360) 493-4081.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 9/21/2008.


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
1276400000XRehabilitation, Substance Use Disorder UnitYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11994052MEDICAIDWASHINGTON
2G001065800MEDICARE 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: 5/5/2024

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