PROVIDENCE HEALTH & SERVICES WASHINGTON is a clinic center in Lacey, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1215431697. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group Sw Wa - Mdpp.
The provider's business location address is:
4800 COLLEGE ST SE
LACEY, WA
ZIP 98503-389
Phone: (360) 493-7567
Fax: (360) 412-6468
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Corp Secretary - Enrollment and has the following contact phone number (425) 525-5392.
The enumeration date for this NPI number is 3/21/2018 and was last updated on 3/21/2018.