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Organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Active
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Organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Active
Other names
Providence Mount Carmel Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization

Contact information

Practice address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 684-2561
(509) 685-2492
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(509) 684-2561

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
WA

Other

Enumeration date
10/16/2008
Last updated
05/08/2025
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