PROVIDENCE HEALTH & SERVICES WASHINGTON is a clinic center in Lacey, 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 1063611408. The provider is registered as an organization entity type.
The provider's business location address is:
420 GOLF CLUB RD SE
SUITE 203
LACEY, WA
ZIP 98503-048
Phone: (360) 493-7469
Fax: (360) 459-2023
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Director Reimbursement Administrati and has the following contact phone number (425) 525-5392.
The CLIA number assigned to this NPI record is 50D2195740 - other - clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2007 and was last updated on 10/31/2017.