# PROVIDENCE HEALTH & SERVICES WASHINGTON

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

## Provider details

- **NPI number:** 1376624981
- **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
- **Practice address phone:** (360) 736-2803
- **Mailing address:** PO BOX 31001-4110, PASADENA, CA 91110-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 05/05/2025
