Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence Centralia Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
Primary
313 007 977
WA
Other
Enumeration date
07/16/2007
Last updated
05/05/2025
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