# PROVIDENCE HEALTH & SERVICES WASHINGTON

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

## Provider details

- **NPI number:** 1457721250
- **Authorized official:** MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1200 BASICH BLVD, ABERDEEN, WA 98520-1035
- **Practice address phone:** (360) 537-8801
- **Practice address fax:** (360) 537-8782
- **Mailing address:** PO BOX 31001-4110, PASADENA, CA 91110-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 05/05/2025