# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE ST JOSEPH CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174774673
- **Authorized official:** DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL)
- **Authorized official phone:** (425) 525-5392

## Contact information

- **Practice address:** 17 E 8TH AVE, SPOKANE, WA 99202-1201
- **Practice address phone:** (509) 474-5678
- **Practice address fax:** (509) 624-1095
- **Mailing address:** PO BOX 94582, SEATTLE, WA 98124-6882
- **Mailing address phone:** (509) 474-5678
- **Mailing address fax:** (509) 624-1095

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/12/2021