# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Centralia Hospital - Transitional Care Unit
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033106687
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
- **Practice address phone:** (360) 330-8703
- **Practice address fax:** (360) 330-8706
- **Mailing address:** PO BOX 34439, PBO/CREDENTIALING, SEATTLE, WA 98124-1439
- **Mailing address phone:** (425) 525-6778
- **Mailing address fax:** (425) 525-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4211918 | WA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 05/05/2025