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Organization

PROVIDENCE HEALTH & SERVICES - WA

Active
Other names
Providence St Joseph Hospital
Organization subpart
No

Provider details

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

Contact information

Practice address
500 E WEBSTER AVE, CHEWELAH, WA 99109-9523
(509) 935-8211
(509) 935-5205
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(509) 935-8211

Taxonomy

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

Other

Enumeration date
10/16/2008
Last updated
05/12/2025
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