# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence SMMC Urgent Care DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508000142
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 380 CHASE AVE, WALLA WALLA, WA 99362-2924
- **Practice address phone:** (509) 522-5171
- **Practice address fax:** (509) 522-5899
- **Mailing address:** PO BOX 31001 - 4110, PASADENA, CA 91110-4110
- **Mailing address phone:** (509) 522-5906
- **Mailing address fax:** (509) 522-5789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | HAC.FS.00000050 | WA | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 03/06/2026