NPI 1033106687

Providence Health & Services - Washington

Organisation Skilled Nursing Facility Centralia, WA

Practice location

Address: 914 S Scheuber Rd, Centralia, WA 98531-9027
Phone: (360) 330-8703
Fax: (360) 330-8706
Mailing address: PO Box 34439 Pbo/Credentialing, Seattle, WA 98124-1439

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary for Enrollment
Phone: (425) 358-9786

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 4211918 (WA)

Other Skilled Nursing Facility providers in Washington →

Registry record

NPI: 1033106687
Entity type: Organization
NPI issued: 29 Sep 2005
Record last updated: 5 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.