NPI 1407945322
Providence Health & Services - Washington
Practice location
- Address
- 914 S Scheuber Rd, Centralia, WA 98531-9027
- Phone
- (360) 736-2803
- Mailing address
- 909 N Broadway Pbo/Credentialing, Everett, WA 98201-1409
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secreatry for Enrollment
- Phone
- (425) 358-9786
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1407945322
- Entity type
- Organization
- NPI issued
- 11 Oct 2006
- 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.