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PROVIDENCE HEALTH & SERVICES-WA NPI 1538311287


NPI Information

NPI: 1538311287
Provider Name: PROVIDENCE HEALTH & SERVICES-WA

Doing Business As: NW HEART & LUNG SURGICAL ASSOC

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
62 W 7TH AVE STE 110
SPOKANE, WA
ZIP 99204
Phone: (509) 456-0262
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PROVIDENCE HEALTH & SERVICES-WA is a thoracic surgery cardiothoracic vascular surgery in Spokane, WA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. PROVIDENCE HEALTH & SERVICES-WA NPI is 1538311287. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nw Heart & Lung Surgical Assoc.

The provider's business location address is:

62 W 7TH AVE STE 110
SPOKANE, WA
ZIP 99204-321
Phone: (509) 456-0262
Fax: (509) 462-5059

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec Enrollmt/dir Reimb Reg and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 9/5/2019.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)600503828WASHINGTONYes

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
1G8878011OTHERWASHINGTONMEDICARE PTAN
2G8878024OTHERWASHINGTONMEDICARE PTAN

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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