# PROVIDENCE HEALTH & SERVICES - WA

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

## Provider details

- **NPI number:** 1700038197
- **Authorized official:** DAN GOGGIN (CFO)
- **Authorized official phone:** (509) 474-4899

## Contact information

- **Practice address:** 500 E WEBSTER AVE, CHEWELAH, WA 99109-9523
- **Practice address phone:** (509) 935-8211
- **Practice address fax:** (509) 935-5205
- **Mailing address:** PO BOX 197, 500 E WEBSTER, CHEWELAH, WA 99109-0197
- **Mailing address phone:** (509) 935-8211
- **Mailing address fax:** (509) 935-5205

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 01/28/2013