# PROVIDENCE HEALTH & SERVICES - WASHINGTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence St Mary Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467603282
- **Authorized official:** MR. DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 401 W POPLAR ST, WALLA WALLA, WA 99362-2846
- **Practice address phone:** (509) 522-5821
- **Practice address fax:** (509) 522-5752
- **Mailing address:** PO BOX 31001-4110, PASADENA, CA 91110-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | H-050 | WA | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 01/24/2025