PROVIDENCE HEALTH & SERVICES WASHINGTON is a clinic center in Centralia, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1689873937. The provider is registered as an organization entity type.
The provider Other Name Is Providence Centralia Hospital - Pediatric After Hours Clinic.
The provider's business location address is:
914 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531-027
Phone: (360) 736-2803
Fax: (360) 330-8642
The provider's authorized official is Nicole Quinn .
The authorized official title is Payor Credentialing Manager and has the following contact phone number (425) 525-6715.
The enumeration date for this NPI number is 7/17/2007 and was last updated on 12/22/2010.