Organization
PROVIDENCE HEALTH & SERVICES - WA
Active
Other names
Prov Scred Hrt Med Ctr & Chlds Hos
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
101 W 8TH AVE, SPOKANE, WA 99204
(509) 474-3131
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(509) 474-3131
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
HAC.FS.00000162
WA
282N00000X
General Acute Care Hospital
Primary
—
WA
Other
Enumeration date
10/01/2008
Last updated
05/07/2025
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