# PROVIDENCE HEALTH & SERVICES - WA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prov Scred Hrt Med Ctr & Chlds Hos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144471715
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 101 W 8TH AVE, SPOKANE, WA 99204
- **Practice address phone:** (509) 474-3131
- **Mailing address:** PO BOX 31001-4110, PASADENA, CA 91110-4110
- **Mailing address phone:** (509) 474-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | HAC.FS.00000162 | WA | — |
| 282N00000X | General Acute Care Hospital | — | WA | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 05/07/2025