Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence Centralia Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN NURMI (DIR REVENUE CYCLE MANAGEMENT)
(360) 493-4081
Entity
Organization
Contact information
Practice address
1000 S SCHEUBER RD, CENTRALIA, WA 98531-8877
(360) 330-8950
(360) 330-8955
Mailing address
909 N BROADWAY, PBO/CREDENTIALING, EVERETT, WA 98201-1409
(425) 317-0246
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107089
—
WA
01
—
AB23193
MEDICARE GROUP
WA
Enumeration date
08/29/2006
Last updated
10/09/2008
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