PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1366641755

NPI Information

NPI: 1366641755
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Other Name: PROVIDENCE ST PETER HOSPITAL - 2ND CLAIMS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4800 COLLEGE ST SE
LACEY, WA
ZIP 98503
Phone: (360) 456-7575
Get Directions

PROVIDENCE HEALTH & SERVICES WASHINGTON is a rehabilitation and substance use disorder clinic center in Lacey, WA. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1366641755. The provider is registered as an organization entity type.
The provider Other Name Is Providence St Peter Hospital - 2nd Claims.

The provider's business location address is:

4800 COLLEGE ST SE
LACEY, WA
ZIP 98503-389
Phone: (360) 456-7575
Fax: (360) 493-5088

The provider's authorized official is Nicole Quinn .
The authorized official title is Payor Credentiailing Manager and has the following contact phone number (425) 525-6715.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 12/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	34 0153 00	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AH-006	OTHER	WASHINGTON	DEPARTMENT OF HEALTH - AL
2	342 006 812	OTHER	WASHINGTON	UNIFIED BUSINESS ID
3	G500143	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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