Organization
PROVIDENCE HEALTH & SERVICES WA
Active
Organization
PROVIDENCE HEALTH & SERVICES WA
Active
Other names
Providence Health Care Health Homes
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
44 W 6TH AVE, SUITE 218, SPOKANE, WA 99204-2306
(509) 474-4817
Mailing address
44 W 6TH AVE, SUITE 218, SPOKANE, WA 99204-2306
(509) 474-4817
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WA
Other
Enumeration date
01/24/2017
Last updated
05/05/2025
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