Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other names
HOLY FAMILY MATERNITY SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-0111
(509) 482-2456
Mailing address
910 N WASHINGTON ST, SUITE 209, SPOKANE, WA 99201-2260
(509) 232-1173
(509) 232-1196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
H139
WA
282N00000X
General Acute Care Hospital
H 139
WA
Other
Enumeration date
07/26/2007
Last updated
05/07/2025
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