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PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1235373879


NPI Information

NPI: 1235373879
Provider Name: PROVIDENCE HEALTH & SERVICES - WASHINGTON

Other Name: PROVIDENCE SMMC NEPHROLOGY DME

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
301 W POPLAR ST
SUITE 100
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5824
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PROVIDENCE HEALTH & SERVICES - WASHINGTON is a nephrology internal medicine in Walla Walla, WA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1235373879. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Providence Smmc Nephrology Dme.

The provider's business location address is:

301 W POPLAR ST
SUITE 100
WALLA WALLA, WA
ZIP 99362-858
Phone: (509) 522-5824
Fax: (509) 522-5738

The provider's authorized official is Susan A Columber .
The authorized official title is Rcm Director and has the following contact phone number (509) 522-5906.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 4/27/2009.


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
1207RN0300XInternal MedicineNephrologyHAC.FS.00000050WASHINGTONYes

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

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