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PROVIDENCE HEALTH & SERVICE - WASHINGTON NPI 1811942758


NPI Information

NPI: 1811942758
Provider Name: PROVIDENCE HEALTH & SERVICE - WASHINGTON

Doing Business As: PROVIDENCE IMAGING CENTER

Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

Address:
908 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 330-8880
Get Directions

PROVIDENCE HEALTH & SERVICE - WASHINGTON is a radiography radiologic technologist in Centralia, WA. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. PROVIDENCE HEALTH & SERVICE - WASHINGTON NPI is 1811942758. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Providence Imaging Center.

The provider's business location address is:

908 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531-027
Phone: (360) 330-8880
Fax: (360) 330-8812

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 5/22/2006 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
12471B0102XRadiologic TechnologistBone DensitometryNo
22471M2300XRadiologic TechnologistMammographyNo
32471C3402XRadiologic TechnologistRadiographyYes

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
17124043MEDICAIDWASHINGTON
2G8804279MEDICARE PINWASHINGTON

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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