Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence St Peter Hospital Diagnostic Imaging Lacey
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4800 COLLEGE ST SE STE E, LACEY, WA 98503-4389
(360) 489-2960
(360) 489-2961
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(360) 489-2960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
05/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us