# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH & SERVICES - WASHINGTON
- **Other names:** HOLY FAMILY MATERNITY SUPPORT SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003006008
- **Legal business name:** PROVIDENCE HEALTH & SERVICES - WASHINGTON
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
- **Practice address phone:** (509) 482-0111
- **Practice address fax:** (509) 482-2456
- **Mailing address:** 910 N WASHINGTON ST, SUITE 209, SPOKANE, WA 99201-2260
- **Mailing address phone:** (509) 232-1173
- **Mailing address fax:** (509) 232-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | H139 | WA | Yes |
| 282N00000X | General Acute Care Hospital | H 139 | WA | — |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 05/07/2025