NPI:
1457721250
Provider Name:
PROVIDENCE HEALTH & SERVICES WASHINGTON
Doing Business As: PROVIDENCE CENTRALIA HOSPITAL
Classification:
Clinic/Center - 261QX0203X
Entity Type:
Organization
Specialization: Oncology, Radiation
CLIA Number: 50D0975072
Address:
1200 BASICH BLVD
ABERDEEN, WA
ZIP 98520
Phone:
(360) 537-8801
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PROVIDENCE HEALTH & SERVICES WASHINGTON is an oncology and radiation clinic center in Aberdeen, WA. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1457721250. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Centralia Hospital.
The provider's business location address is:
1200 BASICH BLVD
ABERDEEN, WA
ZIP 98520-035
Phone: (360) 537-8801
Fax: (360) 537-8782
The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.
The CLIA number assigned to this NPI record is 50D0975072 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 10/6/2015 and was last updated on 1/19/2021.