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PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1467462952


NPI Information

NPI: 1467462952
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:
4800 COLLEGE ST SE
LACEY, WA
ZIP 98503
Phone: (360) 456-7575
Get Directions

PROVIDENCE HEALTH & SERVICES - WASHINGTON is a rehabilitation substance use disorder unit in Lacey, 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 1467462952. 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:

4800 COLLEGE ST SE
LACEY, WA
ZIP 98503-389
Phone: (360) 456-7575
Fax: (360) 493-5088

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 8/8/2006 and was last updated on 9/24/2008.


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
1ST3729OTHERWASHINGTONREGENCE
2=========OTHERWASHINGTONCIGNA
3=========OTHERWASHINGTONAETNA
4HO60IPMEDICAIDALABAMA
53400017MEDICAIDWASHINGTON
6G001065800MEDICARE PINWASHINGTON
750-0143MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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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