Organization
PROVIDENCE HEALTH & SERVICES - WA
Active
Other names
Providence St Joseph Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAN GOGGIN (CFO)
(509) 474-4899
Entity
Organization
Contact information
Practice address
500 E WEBSTER AVE, CHEWELAH, WA 99109-9523
(509) 935-8211
(509) 935-5205
Mailing address
PO BOX 197, 500 E WEBSTER, CHEWELAH, WA 99109-0197
(509) 935-8211
(509) 935-5205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
01/28/2013
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